Jill C Larson, DO - Medicare Family Practice in Mukwonago, WI

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Jill C Larson, DO is a medicare enrolled "Family Medicine" physician in Mukwonago, Wisconsin. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prohealth Medical Group Inc and her current practice location is 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 928-1900.

Jill C Larson is licensed to practice in Wisconsin (license number 49669-021) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174612253.

Contact Information

Jill C Larson, DO
240 Maple Ave., Prohealth Care Medical Associates, Inc.,
Mukwonago, WI 53149-8475
(262) 928-1900
(262) 928-1949

Map and Direction




Physician's Profile

Full NameJill C Larson
GenderFemale
SpecialityFamily Practice
Experience19 Years
Location240 Maple Ave., Mukwonago, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jill C Larson attended and graduated from Michigan State University College Of Osteopathic Medicine in 2005
  NPI Data:
  • NPI Number: 1174612253
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 11/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395743835
  • Enrollment ID: I20061117000221

Medical Identifiers

Medical identifiers for Jill C Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174612253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 49669-021 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188417

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jill C Larson allows following entities to bill medicare on her behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jill C Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill C Larson, DO
N17 W24100 Riverwood Dr., Prohealth Care Medical Associates, Inc.,
Waukesha, WI 53188-1177

Ph: (262) 928-4100		Jill C Larson, DO
240 Maple Ave., Prohealth Care Medical Associates, Inc.,
Mukwonago, WI 53149-8475

Ph: (262) 928-1900

Reviews and Comments


Family Medicine Doctors in Mukwonago, WI

Danika Brianne Johnson,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 120 Chapman Farms Blvd, Mukwonago, WI 53149
Phone: 262-363-6160    
Steven C. Meisner, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Maple Avenue, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149
Phone: 262-928-1900    Fax: 262-363-1949
Anthony Norelli, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Prohealth Care Medical Centers-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149
Phone: 262-928-1900    Fax: 262-363-1949
Steven C. Fehr, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 240 Maple Ave., Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149
Phone: 262-928-1900    Fax: 262-363-1949
Steven G Hammer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 W. Maple Ave, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149
Phone: 262-928-1900    Fax: 262-363-1949
Alison Wittchow,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Maple Ave, Mukwonago, WI 53149
Phone: 262-928-1900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.