Mrs Gizell R Larson, MD | |
1305 W American Dr, Neenah, WI 54956-1993 | |
(920) 725-9373 | |
(920) 720-7392 |
Full Name | Mrs Gizell R Larson |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1305 W American Dr, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629029707 | NPI | - | NPPES |
001371450 | Other | WI | MEDICARE |
30625000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 26600 (Wisconsin) | Primary |
Entity Name | The Neuroscience Group Of Northeast Wisconsin Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Mailing Address | Practice Location Address |
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Mrs Gizell R Larson, MD 1305 W American Dr, Neenah, WI 54956-1993 Ph: (920) 725-9373 | Mrs Gizell R Larson, MD 1305 W American Dr, Neenah, WI 54956-1993 Ph: (920) 725-9373 |
Daniel Long, D.O Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-725-7392 | |
Kelley Jane Parnell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 800-201-1194 Fax: 920-720-7392 | |
Joseph J Jares Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 318 Park Dr, Neenah, WI 54956 Phone: 360-539-8487 Fax: 360-358-9944 | |
Mr. Stephen L Shopbell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1136 Westowne Dr, Neenah, WI 54956 Phone: 920-456-2030 | |
Mr. Thomas Gerard Mattio, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mr. Steven James Price, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 | |
Mrs. Lisa Mary Kokontis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd Street, West Pavilion 2nd Floor The Neuroscience Group Of Ne Wi, Neenah, WI 54956 Phone: 920-725-9373 Fax: 920-720-7392 |