Dr Nathan Michael Larson, OD - Medicare Optometrist in Menasha, WI

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Dr Nathan Michael Larson, OD is a medicare enrolled "Optometrist" provider in Menasha, Wisconsin. His current practice location is 1255 Appleton Rd, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 722-6872.

Dr Nathan Michael Larson is licensed to practice in Wisconsin (license number 3916-35) 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 1073207445.

Contact Information

Dr Nathan Michael Larson, OD
1255 Appleton Rd,
Menasha, WI 54952-1501
(920) 722-6872
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Nathan Michael Larson
GenderMale
SpecialityOptometrist
Location1255 Appleton Rd, Menasha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073207445
  • Provider Enumeration Date: 06/07/2023
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022479815
  • Enrollment ID: I20230726001475

Medical Identifiers

Medical identifiers for Dr Nathan Michael Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073207445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3916-35 (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. Dr Nathan Michael Larson allows following entities to bill medicare on his behalf.
Provider NameCommunity Eyecare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548457757
PECOS PAC ID: 5092770743
Enrollment ID: O20041123000016
Provider NameShoptikal Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659937159
PECOS PAC ID: 1456684471
Enrollment ID: O20190606001553

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. Dr Nathan Michael 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
Dr Nathan Michael Larson, OD
1255 Appleton Rd,
Menasha, WI 54952-1501

Ph: (920) 722-6872		Dr Nathan Michael Larson, OD
1255 Appleton Rd,
Menasha, WI 54952-1501

Ph: (920) 722-6872

Reviews and Comments


Optometrist in Menasha, WI

Amy S Lahay, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 878 W Airport Rd, Menasha, WI 54952
Phone: 920-806-3005    Fax: 920-806-3004
Dr. Annette J Wilde, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1255 Appleton Rd, Menasha, WI 54952
Phone: 920-722-6872    Fax: 920-722-6335
Wisconsin Eye Consultants S. C.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 878 W Airport Rd, Menasha, WI 54952
Phone: 920-806-3005    
Ms. Megan Louise Thistle, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 878 W Airport Rd, Menasha, WI 54952
Phone: 920-806-3005    Fax: 920-806-3004
Dr. Charles J Burgess, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1255 Appleton Rd, Menasha, Menasha, WI 54952
Phone: 920-722-6872    Fax: 920-722-6335
Community Eyecare Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1255 Appleton Rd, Menasha, WI 54952
Phone: 920-722-6872    Fax: 920-722-6335

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.