Michael L Larsen, MD | |
200 1st St Sw, Rochester, MN 55905-0001 | |
(507) 284-2511 | |
Not Available |
Full Name | Michael L Larsen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 17 Years |
Location | 200 1st St Sw, Rochester, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902005663 | NPI | - | NPPES |
ENROLLED | Medicaid | MN | |
ENROLLED | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 50894 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kootenai Health | Coeur d'alene, ID | Hospital |
Benewah Community Hospital | St maries, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kootenai Health Inc | 1355792276 | 330 |
Benewah Community Hospital | 1850200700 | 28 |
Bonner General Hospital Inc | 4082690466 | 35 |
Radiology Associates Of North Idaho Pa | 4385635150 | 22 |
Entity Name | Radiology Associates Of North Idaho Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851384416 PECOS PAC ID: 4385635150 Enrollment ID: O20040520000648 |
Entity Name | Bonner General Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386632180 PECOS PAC ID: 1850200700 Enrollment ID: O20040927000265 |
Entity Name | Kootenai Health, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
Entity Name | Boundary Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801896683 PECOS PAC ID: 3274583406 Enrollment ID: O20050126000312 |
Entity Name | Benewah Community Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1548320435 PECOS PAC ID: 1850200700 Enrollment ID: O20061104000136 |
Entity Name | Kootenai Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
---|---|
Michael L Larsen, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Michael L Larsen, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Tanner Henrie, Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Philippe Couillard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702 | |
Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |