Larry A Mathison, MD is a
Family Medicine physician based in Mound, Minnesota. Larry A Mathison is licensed to practice in Minnesota (license number 19846) and his current practice location is 2200 Commerce Blvd, Mound, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(952) 495-2000.
NPI number for Larry A Mathison is 1427057439 and his current mailing address is 2200 Commerce Blvd, Mound, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427057439.
Physician's Profile
Full Name | Larry A Mathison |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2200 Commerce Blvd, Mound, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427057439
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Larry A Mathison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427057439 | NPI | - | NPPES |
19846 | Other | | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 19846 (Minnesota) | 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. Larry A Mathison 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 |
Larry A Mathison, MD 2200 Commerce Blvd, Mound, MN 55364-1547 Ph: (952) 495-2000 | Larry A Mathison, MD 2200 Commerce Blvd, Mound, MN 55364-1547 Ph: (952) 495-2000 |
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