Dr Kenneth W Larson, MD | |
1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 | |
(417) 820-7250 | |
(417) 820-7255 |
Full Name | Dr Kenneth W Larson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 35 Years |
Location | 1900 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689741795 | NPI | - | NPPES |
207672502 | Medicaid | MO | |
431560263 | Other | MO | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 105284 (Missouri) | Primary |
2086S0127X | Surgery - Trauma Surgery | 105284 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth W Larson, MD Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Kenneth W Larson, MD 1900 S National Ave, Suite 1950, Springfield, MO 65804-2265 Ph: (417) 820-7250 |
Matthew E Simpson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 761 S Hickory Ter, Springfield, MO 65809 Phone: 417-894-6536 | |
Zachary C Schmittling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave, Springfield, MO 65807 Phone: 417-875-3700 Fax: 417-875-3737 | |
Dr. Robert M Cavagnol, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1965 S Fremont Ave, Suite 100, Springfield, MO 65804 Phone: 417-820-3800 Fax: 417-820-3810 | |
Timothy D Woods, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3245 | |
Charles W Dunn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1222 S Delaware Ave, Springfield, MO 65804 Phone: 417-860-7743 Fax: 417-269-7567 | |
James Gibson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3015 S Ridge Dr, Springfield, MO 65809 Phone: 417-887-2342 | |
Dr. Dante Caleb-samuel Dali, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-3960 |