Lars Stangenberg, MD in Providence, RI - Medicare Vascular Surgery

Lars Stangenberg, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Providence, Rhode Island. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc, Signature Healthcare Medical Group Inc and his current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 553-8318.

Lars Stangenberg is licensed to practice in Rhode Island (license number MD15584) 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 1003077090.

Contact Information

	Lars Stangenberg, MD
	2 Dudley St, Suite 470, Providence, RI 02905-3236
	(401) 553-8318
	(401) 868-2307

Map and Direction

Physician's Profile

Full Name	Lars Stangenberg
Gender	Male
Speciality	Vascular Surgery
Experience	21 Years
Location	2 Dudley St, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lars Stangenberg graduated from medical school in 2005

NPI Data:

NPI Number: 1003077090
Provider Enumeration Date: 06/23/2008
Last Update Date: 07/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9032372511
Enrollment ID: I20200309002602

Medical Identifiers

Medical identifiers for Lars Stangenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003077090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	L-236269 (Massachusetts)	Secondary
2086S0129X	Surgery - Vascular Surgery	MD15584 (Rhode Island)	Primary
2086S0129X	Surgery - Vascular Surgery	254554 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beth Israel Deaconess Medical Center	Boston, MA	Hospital
Beth Israel Deaconess Hospital - Needham	Needham, MA	Hospital
Beth Israel Deaconess Hospital Plymouth	Plymouth, MA	Hospital
New England Baptist Hospital	Boston, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc	4486567104	1474
Signature Healthcare Medical Group Inc	7719876267	207

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. Lars Stangenberg allows following entities to bill medicare on his behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426

Entity Name	Mt Auburn Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374

Entity Name	Beth Israel Deaconess Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548202641 PECOS PAC ID: 8123936119 Enrollment ID: O20041001000827

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. Lars Stangenberg 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
Lars Stangenberg, MD Po Box 16149, Rumford, RI 02916-0697 Ph: (401) 453-9625	Lars Stangenberg, MD 2 Dudley St, Suite 470, Providence, RI 02905-3236 Ph: (401) 553-8318

Reviews and Comments

Surgery Doctors in Providence, RI

Aileen Hsueh, Surgery Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088
Todd S Stafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-228-0633 Fax: 401-793-5171
Dr. Robert Ira Wolf, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180
Abigail Case, MD Surgery Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5180
Dr. Carl Winkler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 212-523-4000
Edward J. Marcaccio Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St, Suite 470, Providence, RI 02905 Phone: 401-553-8318 Fax: 401-868-2307
Marcy Ellen Bernstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 954-399-4673

Lars Stangenberg, MD - Medicare Vascular Surgery in Providence, RI