Dr Larry Kyle Gambrell, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sebastopol, California. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Caribou Memorial Hospital, Caribou Medical Center, Inc and his current practice location is
6880 Palm Avenue, Sebastopol, California. You can reach out to his office (for appointments etc.) via phone at
(707) 823-7628.
Dr Larry Kyle Gambrell is licensed to practice in California (license number 20A9837) 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 1275621963.
Physician's Profile
| Full Name | Dr Larry Kyle Gambrell |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 24 Years |
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| Location | 6880 Palm Avenue, Sebastopol, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larry Kyle Gambrell attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2001
NPI Data:
- NPI Number: 1275621963
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799783031
- Enrollment ID: I20250404000717
Medical Identifiers
Medical identifiers for Dr Larry Kyle Gambrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275621963 | NPI | - | NPPES |
| CA107813 | Other | CA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 20A9837 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Caribou Memorial Hospital | 6103734777 | 13 |
| Caribou Medical Center, Inc | 7618365701 | 23 |
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 Larry Kyle Gambrell allows following entities to bill medicare on his behalf.
| Entity Name | Caribou Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942970272
PECOS PAC ID: 7618365701
Enrollment ID: O20220314000619 |
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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 Larry Kyle Gambrell 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 Larry Kyle Gambrell, DO
6880 Palm Ave,
Sebastopol, CA 95472-4270
Ph: (707) 823-7628 | Dr Larry Kyle Gambrell, DO
6880 Palm Avenue,
Sebastopol, CA 95472
Ph: (707) 823-7628 |
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