Dr Peter Eric Larsen, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Columbus, Ohio. His current practice location is
305 W 12th Ave, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 292-5144.
Dr Peter Eric Larsen is licensed to practice in Ohio (license number 30.018614) 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 1205912300.
Healthcare Provider's Profile
| Full Name | Dr Peter Eric Larsen |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 305 W 12th Ave, Columbus, Ohio |
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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. |
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Medical Education and Training:
- Dr Peter Eric Larsen attended and graduated from in
NPI Data:
- NPI Number: 1205912300
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 12/18/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Peter Eric Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205912300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18614 (Ohio) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 30.018614 (Ohio) | 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 Peter Eric Larsen 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 |
|---|
Dr Peter Eric Larsen, DDS
Po Box 182357,
Columbus, OH 43218-2357
Ph: () - | Dr Peter Eric Larsen, DDS
305 W 12th Ave,
Columbus, OH 43210-1267
Ph: (614) 292-5144 |
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