| Dr Jonathan L Larsen, MD | |
|
2651 E Discovery Pkwy, Bloomington, IN 47408-9059 | |
| (812) 918-3400 | |
| (812) 335-7371 |
| Full Name | Dr Jonathan L Larsen |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992748339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01077231A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan L Larsen, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Jonathan L Larsen, MD 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 918-3400 |
Philip Clark Brittain, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 642 S Walker St, Bloomington, IN 47403 Phone: 812-331-9160 Fax: 812-336-0277 | |
Rebecca B Brewer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3925 Hagan St, Suite 104, Bloomington, IN 47401 Phone: 812-334-8400 Fax: 812-334-8401 | |
Leland R Matthews, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 421 W 1st St, Bloomington, IN 47403 Phone: 812-336-0168 Fax: 812-335-7372 | |
Dr. Melissa Marie Watters, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1010 W 2nd St, Bloomington, IN 47403 Phone: 812-334-3955 | |
James F Dupler, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-918-3400 Fax: 812-918-5829 | |
Mark R Feldman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2551 S Smith Rd, Bloomington, IN 47401 Phone: 812-277-5311 | |
Michael Ryskin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1010 W 2nd St, Bloomington, IN 47403 Phone: 812-334-3955 Fax: 812-334-5792 |