Paul Larson, MD | |
721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 | |
(262) 928-2396 | |
(262) 544-1213 |
Full Name | Paul Larson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 721 American Avenue Suite 501, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124091749 | NPI | - | NPPES |
34096900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 39093 (Wisconsin) | Primary |
Entity Name | Madison Psychiatric Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821026550 PECOS PAC ID: 1759286271 Enrollment ID: O20031205000710 |
Mailing Address | Practice Location Address |
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Paul Larson, MD 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Ph: (262) 928-2396 | Paul Larson, MD 721 American Avenue Suite 501, Phc Behavioral Medicine Center, Waukesha, WI 53188 Ph: (262) 928-2396 |
Dr. Thomas Jerome Wilson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 Fax: 262-548-7656 | |
Dr. Malti Mahendra Patel, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7665 Fax: 262-970-6696 | |
Randall B Steinhaus, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 721 American Ave, Suite 501, Waukesha, WI 53188 Phone: 262-928-2396 | |
Dr. Stanya Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1111 Delafield St Ste 105, Waukesha, WI 53188 Phone: 262-542-9503 Fax: 262-542-8447 | |
Gobind Kang-chahal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 514 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 | |
Dr. Matthew R Herald, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 721 American Ave Ste 501, Waukesha, WI 53188 Phone: 262-928-7528 Fax: 262-928-5096 |