Jennine Larson, MD | |
2400 Pine Ridge Blvd, Wausau, WI 54401-7803 | |
(715) 847-2022 | |
Not Available |
Full Name | Jennine Larson |
---|---|
Gender | Female |
Speciality | Critical Care (intensivists) |
Experience | 22 Years |
Location | 2400 Pine Ridge Blvd, Wausau, 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 |
---|---|---|---|
1942412044 | NPI | - | NPPES |
35352800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 51726 (Wisconsin) | Secondary |
208600000X | Surgery | 51726 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Associates Sc | 3072400019 | 24 |
Entity Name | Surgical Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710910476 PECOS PAC ID: 3072400019 Enrollment ID: O20040303000627 |
Mailing Address | Practice Location Address |
---|---|
Jennine Larson, MD 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 Ph: (715) 847-2022 | Jennine Larson, MD 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 Ph: (715) 847-2022 |
Dr. Gary Theodore Sweet Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Charles R. Alden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 Fax: 715-847-2775 | |
Dr. Paul Joseph Chestovich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Stacey Rae Lejeune, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Ralph B Fairchild Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Benjamin James Herdrich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Steven T. Weiland, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 |