Kyle Anthony Larson, DPT in Clear Lake, WI - Medicare Physical Therapy Provider

Kyle Anthony Larson, DPT is a medicare enrolled "Physical Therapist" provider in Clear Lake, Wisconsin. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Clear Lake Physical Therapy And Rehab Specialists Llc and his current practice location is 417 3rd Avenue, Clear Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 263-4103.

Kyle Anthony Larson is licensed to practice in Wisconsin (license number 14996-24) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245853175.

Contact Information

	Kyle Anthony Larson, DPT
	417 3rd Avenue, Clear Lake, WI 54005-8905
	(715) 263-4103
	(715) 263-4110

Map and Direction

Healthcare Provider's Profile

Full Name	Kyle Anthony Larson
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	417 3rd Avenue, Clear Lake, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyle Anthony Larson graduated from medical school in 2020

NPI Data:

NPI Number: 1245853175
Provider Enumeration Date: 05/27/2020
Last Update Date: 05/27/2020

Medicare PECOS Information:

PECOS PAC ID: 0042631822
Enrollment ID: I20200603000970

Medical Identifiers

Medical identifiers for Kyle Anthony Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245853175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14996-24 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clear Lake Physical Therapy And Rehab Specialists Llc	0749327526	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Anthony Larson allows following entities to bill medicare on his behalf.

Provider Name	Clear Lake Physical Therapy And Rehab Specialists Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1083845754 PECOS PAC ID: 0749327526 Enrollment ID: O20091027000797

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Anthony Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle Anthony Larson, DPT Po Box 147, Clear Lake, WI 54005-0147 Ph: (715) 263-4103	Kyle Anthony Larson, DPT 417 3rd Avenue, Clear Lake, WI 54005-8905 Ph: (715) 263-4103

Reviews and Comments

Physical Therapist in Clear Lake, WI

Clear Lake Physical Therapy And Rehab Specialists Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 417 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064
Emily J Monson, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Ave, Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064
Mrs. Deborah Sue Cuper, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 3rd Ave., Clear Lake, WI 54005 Phone: 715-263-4103 Fax: 866-245-8064

Kyle Anthony Larson, DPT - Medicare Physical Therapist in Clear Lake, WI