Dr Charles E Larson, MD is a
Family Medicine - Adult Medicine physician based in Fox Lake, Wisconsin. Dr Charles E Larson is licensed to practice in Wisconsin (license number 26821) and his current practice location is Flci, W10237 Lake Emily Rd, Fox Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 928-6958.
NPI number for Dr Charles E Larson is 1184768129 and his current mailing address is W4455 Overland Trl, Fond Du Lac, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184768129.
Physician's Profile
Full Name | Dr Charles E Larson |
---|
Gender | Male |
---|
Speciality | Family Medicine - Adult Medicine |
---|
Location | Flci, Fox Lake, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184768129
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Charles E Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184768129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | 26821 (Wisconsin) | Primary |
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 Charles E Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Charles E Larson, MD W4455 Overland Trl, Fond Du Lac, WI 54935-8525 Ph: (920) 924-9630 | Dr Charles E Larson, MD Flci, W10237 Lake Emily Rd, Fox Lake, WI 54935-8525 Ph: (920) 928-6958 |
Reviews and Comments