Dr Douglas Glen Larson, MD - Medicare Diagnostic Radiology in Las Vegas, NV

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Dr Douglas Glen Larson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Las Vegas, Nevada. He went to Ohio State University College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ellis Bandt Birkin Kollins And Wong Pllc, Shelin Agrawal And Hyer Pllc, Roseburg Radiologists Pc, Ellis Bandt Birkin Kollins And Wong Pllc, Shelin Agrawal And Hyer Pllc and his current practice location is 2020 Palomino Ln, #100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 759-8600.

Dr Douglas Glen Larson is licensed to practice in Oregon (license number MD172183) 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 1003064999.

Contact Information

Dr Douglas Glen Larson, MD
2020 Palomino Ln, #100,
Las Vegas, NV 89106-4842
(702) 759-8600
Not Available

Map and Direction




Physician's Profile

Full NameDr Douglas Glen Larson
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location2020 Palomino Ln, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Douglas Glen Larson attended and graduated from Ohio State University College Of Medicine in 2008
  NPI Data:
  • NPI Number: 1003064999
  • Provider Enumeration Date: 09/04/2008
  • Last Update Date: 10/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3375783038
  • Enrollment ID: I20140529001281

Medical Identifiers

Medical identifiers for Dr Douglas Glen Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003064999NPI-NPPES
1003064999MedicaidCA
P01418514OtherNVRR MEDICARE DRS
P01352399OtherNVRR DR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 15305 (Nevada)Secondary
2085R0202XRadiology - Diagnostic Radiology MD172183 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRoseburg, ORHospital
Summerlin Hospital Medical CenterLas vegas, NVHospital
Valley Hospital Medical CenterLas vegas, NVHospital
Henderson HospitalHenderson, NVHospital
Centennial Hills Hospital Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ellis Bandt Birkin Kollins And Wong Pllc448656894699
Shelin Agrawal And Hyer Pllc589095595981
Roseburg Radiologists Pc044624600322
Ellis Bandt Birkin Kollins And Wong Pllc448656894699
Shelin Agrawal And Hyer Pllc589095595981

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 Douglas Glen Larson allows following entities to bill medicare on his behalf.
Entity NameEllis Bandt Birkin Kollins & Wong Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578584678
PECOS PAC ID: 4486568946
Enrollment ID: O20031118000697
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameShelin Agrawal And Hyer Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861783961
PECOS PAC ID: 5890955959
Enrollment ID: O20120327000625

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 Douglas Glen 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 AddressPractice Location Address
Dr Douglas Glen Larson, MD
2020 Palomino Ln, #100,
Las Vegas, NV 89106-4842

Ph: (702) 759-8600		Dr Douglas Glen Larson, MD
2020 Palomino Ln, #100,
Las Vegas, NV 89106-4842

Ph: (702) 759-8600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.