| Don A Larson, PA-C | |
|
650 S Randall Rd, Algonquin, IL 60102-5944 | |
| (815) 398-9491 | |
| (815) 381-7498 |
| Full Name | Don A Larson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 650 S Randall Rd, Algonquin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275697534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1072529 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-002924 (Illinois) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Advanced Inpatient Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669537692 PECOS PAC ID: 7719989276 Enrollment ID: O20070213000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Don A Larson, PA-C Box 78534, Milwaukee, WI 53278-8534 Ph: (815) 398-9491 | Don A Larson, PA-C 650 S Randall Rd, Algonquin, IL 60102-5944 Ph: (815) 398-9491 |
Johnathan Salvi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1106 N Main St, Algonquin, IL 60102 Phone: 224-333-0928 Fax: 224-209-8685 |
Chelsea Lauren Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 |
Kelley Meisner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1340 Ryan Pkwy, Algonquin, IL 60102 Phone: 815-276-0150 Fax: 877-461-6742 |
Wajiha Imran Masood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1465 Commerce Dr, Algonquin, IL 60102 Phone: 847-802-7090 Fax: 847-802-7095 |
Amanda L Frakes, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 |
Mrs. Mallory Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2430 Esplanade Dr Ste B, Algonquin, IL 60102 Phone: 847-458-7546 Fax: 224-333-3436 |
Nicholas W Brigham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 650 S Randall Rd, Algonquin, IL 60102 Phone: 815-398-9491 Fax: 815-381-7498 |