Kevin J Larsen, DPM | |
620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 | |
(308) 381-0404 | |
(308) 381-0408 |
Full Name | Kevin J Larsen |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 33 Years |
Location | 620 N Diers Ave Ste 100, Grand Island, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568465300 | NPI | - | NPPES |
280176 | Other | NE | MEDICARE |
02554 | Other | NE | BLUE CROSS BLUE SHIELD |
0152470001 | Other | NE | DMERC CIGNA |
470624979 | Other | NE | CHAMPUS |
480021904 | Other | NE | RAILROAD MEDICARE |
47062497913 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 231 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Aurora, NE | Hospital |
York General Hospital | York, NE | Hospital |
Chi Health St. Francis | Grand island, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foot And Ankle Clinic Of Central Nebraska Pc | 2264435569 | 3 |
Provider Name | Foot & Ankle Clinic Of Central Nebraska Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134162910 PECOS PAC ID: 2264435569 Enrollment ID: O20060804000209 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Larsen, DPM Po Box 5020, Grand Island, NE 68802-5020 Ph: (308) 381-0404 | Kevin J Larsen, DPM 620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 Ph: (308) 381-0404 |
Foot & Ankle Clinic Of Central Nebraska Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 Fax: 308-381-0408 | |
Dr. Jonathan B Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
James E Lewandowski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 | |
Dr. Dusty Lynn Broxterman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
Dr. Scot W Bandel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 729 N Custer Ave, Grand Island, NE 68803 Phone: 308-382-9266 Fax: 308-382-5290 | |
Dr. Corey S. Blackburn, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 | |
Prairie Foot & Ankle Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 |