| Jeffrey D Larsen, MD | |
|
319 S Main St, River Falls, WI 54022-2452 | |
| (715) 425-6701 | |
| Not Available |
| Full Name | Jeffrey D Larsen |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 38 Years |
| Location | 319 S Main St, River Falls, Wisconsin |
| 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 |
|---|---|---|---|
| 1104819622 | NPI | - | NPPES |
| 32225000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 37621 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of Western Wisconsin | Hudson, WI | Home health agency |
| Adoray Home Health | Baldwin, WI | Home health agency |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| River Falls Area Hospital | River falls, WI | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Western Wisconsin Health | Baldwin, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Allina Health System | 4587573613 | 3584 |
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
| Entity Name | Western Wisconsin Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255324752 PECOS PAC ID: 8224939665 Enrollment ID: O20040119000047 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811550155 PECOS PAC ID: 7113830142 Enrollment ID: O20210129001835 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467159210 PECOS PAC ID: 3375645179 Enrollment ID: O20220927002862 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Larsen, MD 1700 University Ave W # 6th, Saint Paul, MN 55104-3727 Ph: (651) 232-1123 | Jeffrey D Larsen, MD 319 S Main St, River Falls, WI 54022-2452 Ph: (715) 425-6701 |
Gopakumar S Nambudiri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1629 E Division St, River Falls, WI 54022 Phone: 715-307-6430 Fax: 715-307-6405 | |
Benjamin Reid Morgan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 |