| Dr Matthew James Larson, MD | |
|
1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | |
| (651) 251-3300 | |
| (651) 255-3450 |
| Full Name | Dr Matthew James Larson |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 25 Years |
| Location | 1215 Town Centre Dr, Eagan, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154386423 | NPI | - | NPPES |
| 070001049 | Other | MN | MEDICARE PTAN |
| 0FE27LA | Other | MN | BLUE SHIELD |
| 0030001093 | Other | MN | MEDICA |
| P01199766 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 46578 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Consultants, Pa | 1850295676 | 23 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Dermatology Consultants, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568567139 PECOS PAC ID: 1850295676 Enrollment ID: O20031124000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew James Larson, MD 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 Ph: (651) 209-1600 | Dr Matthew James Larson, MD 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 Ph: (651) 251-3300 |
Dr. Jozef Lazar, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 | |
Noel Anthony Hauge, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 | |
Joseph Jacob Shaffer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-255-3300 Fax: 651-255-3450 | |
Kristina Kelly Shaffer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 | |
Dr. Kathryn Colleen Barlow, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 |