Dr Daryl Sheldon Larke, MD is a medicare enrolled "Orthopaedic Surgery" physician in Prestonsburg, Kentucky. His current practice location is
5000 Ky Route 321, Suite 2129, Prestonsburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 889-6200.
Dr Daryl Sheldon Larke is licensed to practice in Kentucky (license number 42968) 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 1790737690.
Physician's Profile
| Full Name | Dr Daryl Sheldon Larke |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 5000 Ky Route 321, Prestonsburg, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790737690
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 09/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 8628964541
- Enrollment ID: I20040226000300
Medical Identifiers
Medical identifiers for Dr Daryl Sheldon Larke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790737690 | NPI | - | NPPES |
| 64414691 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 0101239676 (Virginia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 42968 (Kentucky) | 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. Dr Daryl Sheldon Larke allows following entities to bill medicare on his behalf.
| Entity Name | Sparrow Carson Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598490542
PECOS PAC ID: 7113836701
Enrollment ID: O20040126000046 |
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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. Dr Daryl Sheldon Larke 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 |
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Dr Daryl Sheldon Larke, MD
Po Box 406,
Prestonsburg, KY 41653-0406
Ph: (606) 889-6200 | Dr Daryl Sheldon Larke, MD
5000 Ky Route 321, Suite 2129,
Prestonsburg, KY 41653-9113
Ph: (606) 889-6200 |
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