Judith A Larson, PT is a medicare enrolled "Physical Therapist" provider in Thorp, Wisconsin. Her current practice location is
205 E Hill St, Thorp, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(800) 974-4378.
Judith A Larson is licensed to practice in Wisconsin (license number 1711) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043251267.
Healthcare Provider's Profile
| Full Name | Judith A Larson |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 205 E Hill St, Thorp, Wisconsin |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1043251267
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880650456
- Enrollment ID: I20041206000405
Medical Identifiers
Medical identifiers for Judith A Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043251267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1711 (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. Judith A Larson allows following entities to bill medicare on her behalf.
| Provider Name | Dpt Holdings Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1689648602
PECOS PAC ID: 4688679293
Enrollment ID: O20100708000581 |
|---|
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. Judith A 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 |
|---|
Judith A Larson, PT
24014 W Renwick Rd Unit 206,
Plainfield, IL 60544-8711
Ph: (800) 974-4378 | Judith A Larson, PT
205 E Hill St,
Thorp, WI 54771-7630
Ph: (800) 974-4378 |
Reviews and Comments