Dr Nathan Michael Larson, OD in Menasha, WI - Medicare Optometrist Provider

Dr Nathan Michael Larson, OD is a medicare enrolled "Optometrist" provider in Menasha, Wisconsin. His current practice location is 1255 Appleton Rd, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 722-6872.

Dr Nathan Michael Larson is licensed to practice in Wisconsin (license number 3916-35) 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 1073207445.

Contact Information

	Dr Nathan Michael Larson, OD
	1255 Appleton Rd, Menasha, WI 54952-1501
	(920) 722-6872
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nathan Michael Larson
Gender	Male
Speciality	Optometrist
Location	1255 Appleton Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073207445
Provider Enumeration Date: 06/07/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8022479815
Enrollment ID: I20230726001475

Medical Identifiers

Medical identifiers for Dr Nathan Michael Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073207445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3916-35 (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. Dr Nathan Michael Larson allows following entities to bill medicare on his behalf.

Provider Name	Community Eyecare Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548457757 PECOS PAC ID: 5092770743 Enrollment ID: O20041123000016

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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. Dr Nathan Michael 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
Dr Nathan Michael Larson, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872	Dr Nathan Michael Larson, OD 1255 Appleton Rd, Menasha, WI 54952-1501 Ph: (920) 722-6872

Reviews and Comments

Optometrist in Menasha, WI

Amy S Lahay, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1550 Midway Pl, Menasha, WI 54952 Phone: 920-727-8280 Fax: 920-727-8295
Dr. Annette J Wilde, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335
Dr. Charles J Burgess, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Appleton Rd, Menasha, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335
Community Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1255 Appleton Rd, Menasha, WI 54952 Phone: 920-722-6872 Fax: 920-722-6335
Richard Raymond Toellner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1640 Appleton Rd, Menasha, WI 54952 Phone: 920-725-3752 Fax: 920-722-3195

Dr Nathan Michael Larson, OD - Medicare Optometrist in Menasha, WI