Mark Duane Larson, MD is a medicare enrolled "Plastic Surgery" physician in Beaumont, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1997 and has 27 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 And Reconstructive Surgery |
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Experience | 27 Years |
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Location | 755 N 11th St Ste P1000, Beaumont, Texas |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mark Duane Larson attended and graduated from University Of Texas Medical Branch At Galveston in 1997
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 |
Medical Facilities Affiliation
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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