| Paul Larson, MD | |
|
721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 | |
| (262) 928-2396 | |
| (262) 544-1213 |
| Full Name | Paul Larson |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 721 American Avenue Suite 501, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124091749 | NPI | - | NPPES |
| 34096900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 39093 (Wisconsin) | Primary |
| Entity Name | Madison Psychiatric Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821026550 PECOS PAC ID: 1759286271 Enrollment ID: O20031205000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Larson, MD 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Ph: (262) 928-2396 | Paul Larson, MD 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Ph: (262) 928-2396 |
Dr. Thomas Jerome Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 Fax: 262-548-7656 | |
Dr. Malti Mahendra Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7665 Fax: 262-970-6696 | |
Randall B Steinhaus, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 | |
Dr. Stanya Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188 Phone: 262-542-9503 Fax: 262-542-8447 | |
Gobind Kang-chahal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 | |
Dr. Matthew R Herald, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-7528 Fax: 262-928-5096 |