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: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193072262
- Enrollment ID: I20180719003276
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 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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