Tom D Larson, MD | |
7595 Anagram Dr, Eden Prairie, MN 55344-7399 | |
(612) 573-2200 | |
(612) 573-2250 |
Full Name | Tom D Larson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 35 Years |
Location | 7595 Anagram Dr, Eden Prairie, 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 |
---|---|---|---|
1598793226 | NPI | - | NPPES |
16-04032 | Other | MN | LARSON MEDICA # |
HP25797 | Other | MN | LARSON HEALTHPARTNERS # |
1015556 | Other | MN | LARSON PREFERRED ONE # |
163020200 | Medicaid | MN | |
03N49LA | Other | MN | LARSON BCBS # |
18046 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 43983 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cambridge Medical Center | Cambridge, MN | Hospital |
Firstlight Health System | Mora, MN | Hospital |
Riverview Hospital | Crookston, MN | Hospital |
Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
St Francis Regional Medical Center | 7214821909 | 88 |
Consulting Radiologists Ltd | 7719899962 | 80 |
Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
Prairie Lakes Health Care Systems Inc | 8628987823 | 122 |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Entity Name | Consulting Radiologists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487730594 PECOS PAC ID: 7719899962 Enrollment ID: O20031106000511 |
Entity Name | Ridgeview Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
Entity Name | Olmsted Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952356297 PECOS PAC ID: 8527970060 Enrollment ID: O20031119000240 |
Entity Name | Madelia Health |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1912999137 PECOS PAC ID: 1254230816 Enrollment ID: O20040102000800 |
Entity Name | St Francis Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Warren Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073516357 PECOS PAC ID: 2264408566 Enrollment ID: O20040908000953 |
Entity Name | Prairie Lakes Health Care Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20110125001005 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Entity Name | Lutheran Charity Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700038981 PECOS PAC ID: 2264341031 Enrollment ID: O20240216001117 |
Mailing Address | Practice Location Address |
---|---|
Tom D Larson, MD 7595 Anagram Dr, Eden Prairie, MN 55344-7399 Ph: (612) 573-2200 | Tom D Larson, MD 7595 Anagram Dr, Eden Prairie, MN 55344-7399 Ph: (612) 573-2200 |
Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |