David Larsen, DO in Longview, TX - Medicare Family Practice

David Larsen, DO is a medicare enrolled "Family Medicine" physician in Longview, Texas. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Christus Trinity Clinic and his current practice location is 705 E Marshall Ave Ste 1002, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 759-7200.

David Larsen is licensed to practice in Texas (license number R7800) 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 1609225960.

Contact Information

	David Larsen, DO
	705 E Marshall Ave Ste 1002, Longview, TX 75601
	(903) 759-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	David Larsen
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	705 E Marshall Ave Ste 1002, Longview, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Larsen attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2016

NPI Data:

NPI Number: 1609225960
Provider Enumeration Date: 06/08/2016
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 0345534798
Enrollment ID: I20190626001890

Medical Identifiers

Medical identifiers for David Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609225960	NPI	-	NPPES
400288301	Medicaid	TX
8LE902	Other	TX	BCBS
817012	Other	TX	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	BP10057146 (Texas)	Secondary
207Q00000X	Family Medicine	R7800 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hospice Of East Texas	Tyler, TX	Hospice
Christus Mother Frances Hospital	Tyler, TX	Hospital
Providence Park Rehabilitation And Skilled Nursing	Tyler, TX	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1246

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. David Larsen allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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. David Larsen 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
David Larsen, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	David Larsen, DO 705 E Marshall Ave Ste 1002, Longview, TX 75601 Ph: (903) 759-7200

Reviews and Comments

Family Medicine Doctors in Longview, TX

Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176
John Layton Wright Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115
Ketki Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400

David Larsen, DO - Medicare Family Practice in Longview, TX