Dr Larry Earl Reneker, DO is a
Family Medicine physician based in Flagler Beach, Florida. Dr Larry Earl Reneker is licensed to practice in Florida (license number OS7082) and his current practice location is 2622 S Daytona Ave, Flagler Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 503-3736.
NPI number for Dr Larry Earl Reneker is 1619944469 and his current mailing address is 2622 S Daytona Ave, Flagler Beach, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619944469.
Physician's Profile
| Full Name | Dr Larry Earl Reneker |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2622 S Daytona Ave, Flagler Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619944469
- Provider Enumeration Date: 03/01/2006
- Last Update Date: 10/15/2019
Medical Identifiers
Medical identifiers for Dr Larry Earl Reneker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619944469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS7082 (Florida) | Primary |
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 Larry Earl Reneker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Larry Earl Reneker, DO 2622 S Daytona Ave, Flagler Beach, FL 32136-4093 Ph: (386) 503-3736 | Dr Larry Earl Reneker, DO 2622 S Daytona Ave, Flagler Beach, FL 32136-4093 Ph: (386) 503-3736 |
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