Michael E M Larson, PHD is a medicare enrolled "Psychologist" provider in Minocqua, Wisconsin. His current practice location is
9576 Hwy 70, Minocqua, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 358-1194.
Michael E M Larson is licensed to practice in Wisconsin (license number 2224) 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 1063514057.
Healthcare Provider's Profile
| Full Name | Michael E M Larson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 9576 Hwy 70, Minocqua, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063514057
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 10/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638209570
- Enrollment ID: I20100618000825
Medical Identifiers
Medical identifiers for Michael E M Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063514057 | NPI | - | NPPES |
| 39129100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 2224 (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. Michael E M Larson allows following entities to bill medicare on his behalf.
| Entity Name | Marshfield Clinic Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590 |
|---|
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. Michael E M 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 |
|---|
Michael E M Larson, PHD
1000 N Oak Ave,
Marshfield, WI 54449-5777
Ph: (715) 387-5511 | Michael E M Larson, PHD
9576 Hwy 70,
Minocqua, WI 54548-9067
Ph: (715) 358-1194 |
Reviews and Comments