Dr Earl Kenneth Larson Iii, DO in Omaha, NE

Dr Earl Kenneth Larson Iii, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Omaha, Nebraska. His current practice location is 14301 Fnb Pkwy Ste 100, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 493-1212.

Dr Earl Kenneth Larson Iii is licensed to practice in Nebraska (license number 2439) 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 1902268105.

Contact Information

	Dr Earl Kenneth Larson Iii, DO
	14301 Fnb Pkwy Ste 100, Omaha, NE 68154-7200
	(402) 493-1212
	(866) 363-5291

Map and Direction

Physician's Profile

Full Name	Dr Earl Kenneth Larson Iii
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	14301 Fnb Pkwy Ste 100, Omaha, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902268105
Provider Enumeration Date: 03/26/2016
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6002108016
Enrollment ID: I20210527001280

Medical Identifiers

Medical identifiers for Dr Earl Kenneth Larson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902268105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	69279 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2439 (Nebraska)	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 Earl Kenneth Larson Iii allows following entities to bill medicare on his behalf.

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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 Earl Kenneth Larson Iii 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
Dr Earl Kenneth Larson Iii, DO 14301 Fnb Pkwy Ste 100, Omaha, NE 68154-7200 Ph: (402) 493-1212	Dr Earl Kenneth Larson Iii, DO 14301 Fnb Pkwy Ste 100, Omaha, NE 68154-7200 Ph: (402) 493-1212

Reviews and Comments

Radiology Doctors in Omaha, NE

Dr. Timothy Edward Donovan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-1010 Fax: 102-559-1011
Mary S. Davey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 N 30th St Ste 3601, Omaha, NE 68131 Phone: 402-449-4540
Craig W Walker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011
Steven T Mccormack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17310 Wright St Ste 103, Omaha, NE 68130 Phone: 833-228-6889 Fax: 877-853-0376
John Paul Haas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Emile @ 42nd St, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011
Sushama P Kunnathil, MBBS Radiology Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-1010 Fax: 402-559-1011
Matthew F Omojola, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St Ste 3601, Omaha, NE 68131 Phone: 402-449-4540

Dr Earl Kenneth Larson Iii, DO - Medicare Radiology in Omaha, NE