| Jennine Larson, MD | |
|
2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | |
| (715) 847-2022 | |
| Not Available |
| Full Name | Jennine Larson |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 23 Years |
| Location | 2400 Pine Ridge Blvd, Wausau, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942412044 | NPI | - | NPPES |
| 35352800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | 51726 (Wisconsin) | Secondary |
| 208600000X | Surgery | 51726 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Langlade Hospital | Antigo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgical Associates, S.c. | 3072400019 | 25 |
| Entity Name | Surgical Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710910476 PECOS PAC ID: 3072400019 Enrollment ID: O20040303000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennine Larson, MD 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 Ph: (715) 847-2022 | Jennine Larson, MD 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 Ph: (715) 847-2022 |
Dr. Corrine Blumling Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Gary Theodore Sweet Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Charles R. Alden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 Fax: 715-847-2775 | |
Dr. Paul Joseph Chestovich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Stacey Rae Lejeune, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Ralph B Fairchild Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Benjamin James Herdrich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 |