David P Larsen, OD in Tomah, WI - Medicare Optometrist Provider

David P Larsen, OD is a medicare enrolled "Optometrist" provider in Tomah, Wisconsin. His current practice location is 1330 N Superior Ave, Tomah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 372-4458.

David P Larsen is licensed to practice in Wisconsin (license number 2311) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417953308.

Contact Information

	David P Larsen, OD
	1330 N Superior Ave, Tomah, WI 54660-1130
	(608) 372-4458
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David P Larsen
Gender	Male
Speciality	Optometrist
Location	1330 N Superior Ave, Tomah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417953308
Provider Enumeration Date: 06/24/2005
Last Update Date: 01/21/2016

Medicare PECOS Information:

PECOS PAC ID: 3870780133
Enrollment ID: I20101213000500

Medical Identifiers

Medical identifiers for David P Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417953308	NPI	-	NPPES
38581400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2311 (Wisconsin)	Primary

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. David P Larsen allows following entities to bill medicare on his behalf.

Provider Name	Gundersen Clinic Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Provider Name	Gundersen Lutheran Medical Center Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. David P Larsen 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
David P Larsen, OD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	David P Larsen, OD 1330 N Superior Ave, Tomah, WI 54660-1130 Ph: (608) 372-4458

Reviews and Comments

Optometrist in Tomah, WI

Dr. Joyce Jordahl Nash, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Veterans Administration, 500 East Veterans St, Tomah, WI 54660 Phone: 608-372-1279
Gl Vision Center - Tomah Optometrist Medicare: Not Enrolled in Medicare Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-782-7300
Dr. Amy Marie Atherton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4458
Thomas E Boulden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951
Kevin Albert Stagman, OD DR OF OPTOMETRY Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 West Mccoy Blvd, Tomah, WI 54660 Phone: 608-372-1813 Fax: 608-372-1824
Family Vision Center Of La Crosse Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1825 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4664 Fax: 608-372-3021

David P Larsen, OD - Medicare Optometrist in Tomah, WI