Mr Chad Larson, PT in Oshkosh, WI - Medicare Physical Therapist Provider

Mr Chad Larson, PT is a medicare enrolled "Physical Therapist" provider in Oshkosh, Wisconsin. His current practice location is 1130 N Westfield St, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 237-2163.

Mr Chad Larson is licensed to practice in Wisconsin (license number 10578-024) 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 1568618692.

Contact Information

	Mr Chad Larson, PT
	1130 N Westfield St, Oshkosh, WI 54902-3217
	(920) 237-2163
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Chad Larson
Gender	Male
Speciality	Physical Therapist
Location	1130 N Westfield St, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568618692
Provider Enumeration Date: 08/08/2008
Last Update Date: 08/08/2008

Medicare PECOS Information:

PECOS PAC ID: 2860796299
Enrollment ID: I20160205000502

Medical Identifiers

Medical identifiers for Mr Chad Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568618692	NPI	-	NPPES
36111800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10578-024 (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. Mr Chad Larson allows following entities to bill medicare on his behalf.

Provider Name	Oasis Therapy Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370

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. Mr Chad 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
Mr Chad Larson, PT 1130 N Westfield St, Oshkosh, WI 54902-3217 Ph: (920) 237-2163	Mr Chad Larson, PT 1130 N Westfield St, Oshkosh, WI 54902-3217 Ph: (920) 237-2163

Reviews and Comments

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Mr Chad Larson, PT - Medicare Physical Therapist in Oshkosh, WI