| Dr Larry Douglas Van Fossen, DO | |
|
5955 Rand Blvd, Sarasota, FL 34238-5160 | |
| (941) 893-6620 | |
| (941) 748-8440 |
| Full Name | Dr Larry Douglas Van Fossen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 5955 Rand Blvd, Sarasota, Florida |
| 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 |
|---|---|---|---|
| 1497778054 | NPI | - | NPPES |
| 114329900 | Medicaid | FL | |
| 0981826 | Medicaid | OH | |
| 300135298 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LH0002X | Anesthesiology - Hospice And Palliative Medicine | 34.005429 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | OS18532 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwood Anesthesia Associates Llc | 8022920255 | 28 |
| Entity Name | Northwood Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191 |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Entity Name | Capital Anesthesia Solutions Of Florida Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891318481 PECOS PAC ID: 7911323720 Enrollment ID: O20200811002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Douglas Van Fossen, DO 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 893-6620 | Dr Larry Douglas Van Fossen, DO 5955 Rand Blvd, Sarasota, FL 34238-5160 Ph: (941) 893-6620 |
Stephen L. Berkes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-1164 Fax: 941-365-1387 | |
Dr. Myrdalis Diaz-ramirez, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1958 Prospect St, Sarasota, FL 34239 Phone: 941-557-7242 Fax: 941-557-7241 | |
Dr. Matthew O Waldron, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-1164 | |
Kayla Florio, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5731 Bee Ridge Rd, Sarasota, FL 34233 Phone: 941-342-1100 | |
Dena Lee Mcatee, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7126 Beneva Rd, Sarasota, FL 34238 Phone: 941-929-9530 Fax: 941-929-9529 | |
Kathryn Flavin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8383 S Tamiami Trl Unit 115, Sarasota, FL 34238 Phone: 941-375-3006 | |
Mary L Vonwaldner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1261 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-366-2360 Fax: 941-366-3123 |