Matthew T Larsen, DPM | |
8400 Washington Ave, Mount Pleasant, WI 53406-3735 | |
(262) 884-4000 | |
Not Available |
Full Name | Matthew T Larsen |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 28 Years |
Location | 8400 Washington Ave, Mount Pleasant, Wisconsin |
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 |
---|---|---|---|
1417944737 | NPI | - | NPPES |
43226300 | Medicaid | WI | |
4388570001 | Other | WI | DMERC REGION B CARRIER |
213E00000X | Other | TAXONOMY CODE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 775 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora At Home | Milwaukee, WI | Home health agency |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Provider Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Provider Name | Aurora Medical Group, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Provider Name | Foot & Ankle Specialists Of Racine, S.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457337024 PECOS PAC ID: 1456426675 Enrollment ID: O20080821000519 |
Mailing Address | Practice Location Address |
---|---|
Matthew T Larsen, DPM 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Matthew T Larsen, DPM 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4000 |
Anne P Stroze, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 Fax: 262-884-4177 | |
Cynthia Rae Cernak, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St Ste 130, Mount Pleasant, WI 53405 Phone: 262-631-8750 Fax: 262-631-8754 | |
G.s. Miceli, Dpm, S.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6754 Lindermann Ave, Mount Pleasant, WI 53406 Phone: 262-654-5555 Fax: 262-654-9333 | |
Dr. Thomas Paulick, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-554-7004 |