Melissa Diane Larson, MD | |
13260 Service Rd, Walton, KY 41094-9565 | |
(859) 485-4116 | |
Not Available |
Full Name | Melissa Diane Larson |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 13260 Service Rd, Walton, Kentucky |
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 |
---|---|---|---|
1972050961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 52180 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Florence | Florence, KY | Hospital |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Grant | Williamstown, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Melissa Diane Larson, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 485-4116 | Melissa Diane Larson, MD 13260 Service Rd, Walton, KY 41094-9565 Ph: (859) 485-4116 |
Nancy Shupe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13260 Service Rd, Walton, KY 41094 Phone: 859-485-4116 Fax: 859-485-1389 | |
Anne T Donovan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13260 Service Rd, Walton, KY 41094 Phone: 859-485-4116 Fax: 859-485-1389 | |
Joshua A Kadetz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 Chestnut Dr, Walton, KY 41094 Phone: 859-485-7900 Fax: 859-485-7920 |