| Alexandra L Larson, MD | |
|
701 W Kalsched St, Marshfield, WI 54449-1334 | |
| (715) 221-6110 | |
| Not Available |
| Full Name | Alexandra L Larson |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 14 Years |
| Location | 701 W Kalsched St, Marshfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992090468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 125059458 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity - Rock Island | Rock island, IL | Hospital |
| Trinity Muscatine | Muscatine, IA | Hospital |
| Trinity - Bettendorf | Bettendorf, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
| Peoria Tazewell Pathology Group, S.c. | 1254228711 | 17 |
| Entity Name | Peoria Tazewell Pathology Group, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578597738 PECOS PAC ID: 1254228711 Enrollment ID: O20040301000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra L Larson, MD 1320 N Shawano Dr, Marshfield, WI 54449-1346 Ph: (815) 997-6753 | Alexandra L Larson, MD 701 W Kalsched St, Marshfield, WI 54449-1334 Ph: (715) 221-6110 |
Dr. Jonathan Eugene Cutlan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Donald J Schreiber, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Gene R Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Ms. Sophie Suzanne Arbefeville, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Deepa Bassi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Jeffrey M Resnick, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7654 | |
Tajinder Singh Bisla, MD Pathology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 |