Dr Elizabeth A Larson, MD | |
1511 Park Ave, Columbus, WI 53925-2401 | |
(920) 623-3040 | |
(920) 623-2244 |
Full Name | Dr Elizabeth A Larson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 1511 Park Ave, Columbus, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912141433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 56030-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Community Hospital | Columbus, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prairie Ridge Health Inc | 6800791484 | 38 |
Entity Name | Prairie Ridge Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
---|---|
Dr Elizabeth A Larson, MD Po Box 370, Columbus, WI 53925-0370 Ph: (920) 623-3040 | Dr Elizabeth A Larson, MD 1511 Park Ave, Columbus, WI 53925-2401 Ph: (920) 623-3040 |
Dennis A Oeth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-5226 | |
Colin Tolentino Millar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Janis E Byrd, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1513 Park Ave, 1st Floor, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Charles E Hansell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1513 Park Ave, 1st Floor, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-1788 | |
Elise M Malzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Thomas Mitchell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-0377 Fax: 920-623-5252 |