Brad David Larsen, PA-C is a
Physician Assistant - Medical physician based in Apo, Armed Forces Europe. Brad David Larsen is licensed to practice in Georgia (license number 1161415) and his current practice location is 31st Medical Group, Unit 6180, Apo, Armed Forces Europe. He can be reached at his office (for appointments etc.) via phone at
(314) 632-5105.
NPI number for Brad David Larsen is 1144700782 and his current mailing address is 31 Medical Group, Unit 6180, Apo, Armed Forces Europe. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144700782.
Physician's Profile
| Full Name | Brad David Larsen |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 31st Medical Group, Apo, Armed Forces Europe |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144700782
- Provider Enumeration Date: 08/14/2018
- Last Update Date: 08/17/2022
Medical Identifiers
Medical identifiers for Brad David Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144700782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 1161415 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1161415 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brad David Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brad David Larsen, PA-C
31 Medical Group, Unit 6180,
Apo, AE 09604
Ph: () - | Brad David Larsen, PA-C
31st Medical Group, Unit 6180,
Apo, AE 09604
Ph: (314) 632-5105 |