Mark Duane Larson, MD is a medicare enrolled "Plastic Surgery" physician in Beaumont, Texas. His current practice location is
755 N 11th St Ste P1000, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 833-0193.
Mark Duane Larson is licensed to practice in Texas (license number H8192) 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 1770644767.
Physician's Profile
| Full Name | Mark Duane Larson |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 755 N 11th St Ste P1000, Beaumont, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770644767
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 03/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537264635
- Enrollment ID: I20090605000027
Medical Identifiers
Medical identifiers for Mark Duane Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770644767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | H8192 (Texas) | 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. Mark Duane Larson allows following entities to bill medicare on his behalf.
| Entity Name | Mark D. Larson, M.d., P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245489103 PECOS PAC ID: 4082764477 Enrollment ID: O20090605000029 |
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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. Mark Duane Larson 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 |
Mark Duane Larson, MD 755 N 11th St Ste P1000, Beaumont, TX 77702-1528 Ph: (409) 833-0193 | Mark Duane Larson, MD 755 N 11th St Ste P1000, Beaumont, TX 77702-1528 Ph: (409) 833-0193 |
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