| Jeffrey E Larson, MD | |
|
2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | |
| (414) 328-8600 | |
| (414) 328-8686 |
| Full Name | Jeffrey E Larson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 41 Years |
| Location | 2424 S 90th St, West Allis, 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 |
|---|---|---|---|
| 1124018809 | NPI | - | NPPES |
| 31597600 | Medicaid | WI | |
| CG1663 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31144020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| West Allis Memorial Hospital | West allis, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspen Orthopaedic And Rehabilitation Specialists S C | 8325930480 | 11 |
| Entity Name | Aspen Orthopaedic And Rehabilitation Specialists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366473597 PECOS PAC ID: 8325930480 Enrollment ID: O20040325000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey E Larson, MD 19475 W North Ave, Ste 201, Brookfield, WI 53045-4199 Ph: (262) 395-4163 | Jeffrey E Larson, MD 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 Ph: (414) 328-8600 |
Dr. Justin William Peterson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, West Allis, WI 53227 Phone: 414-321-2255 | |
Patrick W Cummings, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Marc-antoine Tremblay, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Michael James Stoesz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-321-2255 | |
Lee M Tyne, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2424 S 90th St, Suite 500, West Allis, WI 53227 Phone: 414-328-8600 Fax: 414-328-8686 | |
Lisa A Sienkiewicz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 500, West Allis, WI 53227 Phone: 414-321-2255 |