Matthew Erick Larson, is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Madison, Wisconsin. His current practice location is
600 Highland Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 263-6400.
Matthew Erick Larson is licensed to practice in Wisconsin (license number 73825-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316444615.
Physician's Profile
| Full Name | Matthew Erick Larson |
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| Gender | Male |
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| Speciality | Nuclear Medicine - Nuclear Imaging & Therapy |
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| Location | 600 Highland Ave, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316444615
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193072262
- Enrollment ID: I20240903000992
Medical Identifiers
Medical identifiers for Matthew Erick Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316444615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 73825-20 (Wisconsin) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 73825-20 (Wisconsin) | Primary |
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. Matthew Erick Larson allows following entities to bill medicare on his behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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| Entity Name | University Of Wisconsin System Non Payroll |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346266319 PECOS PAC ID: 9133024888 Enrollment ID: O20031204001102 |
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| Entity Name | Group Health Cooperative Of South Central Wisconsin |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
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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. Matthew Erick 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 Address | Practice Location Address |
Matthew Erick Larson, 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Matthew Erick Larson, 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6400 |
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