| Eric W Larson, MD | |
|
6525 Drew Ave S, Edina, MN 55435 | |
| (952) 920-6748 | |
| (952) 920-3863 |
| Full Name | Eric W Larson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6525 Drew Ave S, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154414050 | NPI | - | NPPES |
| 172494 | Other | MN | UCARE |
| 792325200 | Medicaid | MN | |
| 131L0LA | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28533 (Minnesota) | Primary |
| Entity Name | Hennepin County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric W Larson, MD 6525 Drew Ave S, Edina, MN 55435 Ph: (952) 920-6748 | Eric W Larson, MD 6525 Drew Ave S, Edina, MN 55435 Ph: (952) 920-6748 |
Dr. Sujit Ram Varma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4444 W 76th St Ste 400, Edina, MN 55435 Phone: 612-746-5888 | |
Paul Jan Melichar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5512 Brook Drive, Edina, MN 55439 Phone: 952-941-3136 | |
Kelsey Leigh Gilles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6363 France Ave S, Edina, MN 55435 Phone: 952-230-9100 | |
Sarah M Benish, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St, Suite 150, Edina, MN 55435 Phone: 952-920-7200 Fax: 763-302-4234 | |
Dr. Olukayode O Awosika, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6600 France Ave S Ste 415, Edina, MN 55435 Phone: 952-303-6832 Fax: 952-303-3434 | |
Dr. Bruce Ira Idelkope, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3400 W 66th St, Suite 150, Edina, MN 55435 Phone: 952-920-7200 Fax: 763-302-4234 | |
Kristen Caruso Case, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6363 France Ave S Ste 200, Edina, MN 55435 Phone: 952-230-9100 Fax: 952-922-2525 |