Mark Daniel Larson, MD in Greenfield, WI

Mark Daniel Larson, MD is a medicare enrolled "Ophthalmology - Glaucoma Specialist" physician in Greenfield, Wisconsin. His current practice location is 4600 W Loomis Rd Ste 310, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 281-0424.

Mark Daniel Larson is licensed to practice in Wisconsin (license number 84144-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831651868.

Contact Information

	Mark Daniel Larson, MD
	4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858
	(414) 281-0424
	(414) 281-0959

Map and Direction

Physician's Profile

Full Name	Mark Daniel Larson
Gender	Male
Speciality	Ophthalmology - Glaucoma Specialist
Location	4600 W Loomis Rd Ste 310, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831651868
Provider Enumeration Date: 03/31/2019
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 4082037999
Enrollment ID: I20230517002808

Medical Identifiers

Medical identifiers for Mark Daniel Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831651868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0009X	Ophthalmology - Glaucoma Specialist	84144-20 (Wisconsin)	Primary
207W00000X	Ophthalmology	73841 (Minnesota)	Secondary

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. Mark Daniel Larson allows following entities to bill medicare on his behalf.

Entity Name	Minnesota Eye Consultants, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508839879 PECOS PAC ID: 4284524539 Enrollment ID: O20040318001449

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. Mark Daniel 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
Mark Daniel Larson, MD 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 Ph: (414) 281-0424	Mark Daniel Larson, MD 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 Ph: (414) 281-0424

Reviews and Comments

Ophthalmology Doctors in Greenfield, WI

Cole Rojas, Ophthalmology Medicare: Medicare Enrolled Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-588-3526
Dr. Hart Beaman Moss, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0424
Judith Becker Coran, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave Ste 101, Greenfield, WI 53221 Phone: 414-279-5579 Fax: 414-249-3299
Joshua Agranat, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd Ste 240, Greenfield, WI 53221 Phone: 262-510-0300 Fax: 262-510-0500
Dr. Amy M Moschell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave Ste 101, Greenfield, WI 53221 Phone: 414-279-5579 Fax: 414-249-3299
Glenn E. Graves, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0963 Fax: 414-281-0959

Mark Daniel Larson, MD - Medicare Ophthalmology in Greenfield, WI