Matthew Erick Larson, is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Madison, Wisconsin. His current practice location is
600 Highland Ave, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 263-6400.
Matthew Erick Larson is licensed to practice in Wisconsin (license number 73825-20) 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 1316444615.
Physician's Profile
Full Name | Matthew Erick Larson |
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Gender | Male |
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Speciality | Nuclear Medicine - Nuclear Imaging & Therapy |
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Location | 600 Highland Ave, Madison, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316444615
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193072262
- Enrollment ID: I20240903000992
Medical Identifiers
Medical identifiers for Matthew Erick Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316444615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 73825-20 (Wisconsin) | Secondary |
207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 73825-20 (Wisconsin) | Primary |
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. Matthew Erick 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 | University Of Wisconsin System Non Payroll |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346266319 PECOS PAC ID: 9133024888 Enrollment ID: O20031204001102 |
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Entity Name | Group Health Cooperative Of South Central Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
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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. Matthew Erick 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 |
Matthew Erick Larson, 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Matthew Erick Larson, 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-6400 |
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