Theresa A Larson, MD | |
608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 | |
(405) 271-6060 | |
(405) 271-3649 |
Full Name | Theresa A Larson |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 19 Years |
Location | 608 Stanton L Young Blvd, Oklahoma City, Oklahoma |
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 |
---|---|---|---|
1881606739 | NPI | - | NPPES |
ENROLLED | Medicaid | WI | |
403688000 | Medicaid | MN | |
P00629415 | Other | MN | RAILROAD MEDICARE |
ENROLLED | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 48676 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marshfield Medical Center | Marshfield, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mchs Hospitals Inc | 5698071173 | 1030 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Theresa A Larson, MD 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 Ph: (405) 271-6060 | Theresa A Larson, MD 608 Stanton L Young Blvd, Oklahoma City, OK 73104-5014 Ph: (405) 271-6060 |
Vinay Ashok Shah, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9821 S May Ave Ste C, Oklahoma City, OK 73159 Phone: 405-691-0505 Fax: 405-691-0507 | |
Cynthia A Bradford, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
Jila Noorikolouri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-3013 | |
Patricia Henrietta Fortin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway Ste 335, Oklahoma City, OK 73132 Phone: 405-733-2020 | |
Dr. Brian Keith Firestone, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
David W Parke Ii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-1092 | |
Gary Waine Wilson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132 Phone: 405-722-2020 Fax: 405-516-6126 |