Jeffrey D Larson, MD is a medicare enrolled "Plastic Surgery" physician in Monona, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice University Of Wisconsin Medical Foundation Inc and his current practice location is
6408 Copps Ave, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 417-6175.
Jeffrey D Larson is licensed to practice in Wisconsin (license number 50808-20) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144266479.
Physician's Profile
Full Name | Jeffrey D Larson |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 18 Years |
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Location | 6408 Copps Ave, Monona, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jeffrey D Larson attended and graduated from Medical College Of Wisconsin in 2006
NPI Data:
- NPI Number: 1144266479
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 04/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072778430
- Enrollment ID: I20130116000487
Medical Identifiers
Medical identifiers for Jeffrey D Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144266479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 50808-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Wisconsin Medical Foundation Inc | 6608785464 | 2153 |
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. Jeffrey D Larson allows following entities to bill medicare on his behalf.
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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Entity Name | Stoughton Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
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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. Jeffrey D 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 |
Jeffrey D Larson, MD 202 S Park St, Madison, WI 53715-1507 Ph: () - | Jeffrey D Larson, MD 6408 Copps Ave, Monona, WI 53716 Ph: (608) 417-6175 |
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