| Jeffrey D Larson, MD | |
|
700 S Park St, Madison, WI 53715-1830 | |
| (608) 251-6100 | |
| (608) 260-2976 |
| Full Name | Jeffrey D Larson |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 20 Years |
| Location | 700 S Park St, Madison, 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 |
|---|---|---|---|
| 1144266479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 50808-20 (Wisconsin) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 50808-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meriter Hospital | Madison, WI | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2380 |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Larson, MD 202 S Park St, Madison, WI 53715-1507 Ph: () - | Jeffrey D Larson, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Haggi Mazeh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-8072 Fax: 608-265-9695 | |
Vanessa Mercedes Welten, MD MPH Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 617-732-5500 | |
Faith Dickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Wardah Rafaqat, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 | |
Bruce A Harms, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-5530 | |
Dr. Clara Emilia Angeles, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-890-0554 | |
Michael J Garren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 South Park St, Madison, WI 53715 Phone: 608-287-2100 Fax: 608-287-2324 |