Jeffrey D Larson, MD - Medicare Plastic And Reconstructive Surgery in Monona, WI

Jeffrey D Larson, MD is a medicare enrolled "Plastic Surgery" physician in Monona, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2006 and has 18 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice University Of Wisconsin Medical Foundation Inc and his current practice location is 6408 Copps Ave, Monona, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 417-6175.

Jeffrey D Larson is licensed to practice in Wisconsin (license number 50808-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144266479.

Contact Information

Jeffrey D Larson, MD
6408 Copps Ave,
Monona, WI 53716
(608) 417-6175
Not Available



Physician's Profile

Full NameJeffrey D Larson
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience18 Years
Location6408 Copps Ave, Monona, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey D Larson attended and graduated from Medical College Of Wisconsin in 2006
  NPI Data:
  • NPI Number: 1144266479
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 04/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072778430
  • Enrollment ID: I20130116000487

Medical Identifiers

Medical identifiers for Jeffrey D Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144266479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 50808-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Meriter HospitalMadison, WIHospital
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Wisconsin Medical Foundation Inc66087854642164

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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. Jeffrey D Larson allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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Entity NameStoughton Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679558647
PECOS PAC ID: 7012825706
Enrollment ID: O20040402001358

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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. Jeffrey D 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 AddressPractice Location Address
Jeffrey D Larson, MD
202 S Park St,
Madison, WI 53715-1507

Ph: () -
Jeffrey D Larson, MD
6408 Copps Ave,
Monona, WI 53716

Ph: (608) 417-6175

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Plastic Surgery Doctors in Monona, WI


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