Dr Larry A Widman, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Salinas, California. His current practice location is
2 Rossi Cir, Salinas, California. You can reach out to his office (for appointments etc.) via phone at
(831) 770-0444.
Dr Larry A Widman is licensed to practice in California (license number G32397) 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 1366765448.
Physician's Profile
| Full Name | Dr Larry A Widman |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2 Rossi Cir, Salinas, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366765448
- Provider Enumeration Date: 03/03/2010
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779613385
- Enrollment ID: I20111013000611
Medical Identifiers
Medical identifiers for Dr Larry A Widman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366765448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | G32397 (California) | Secondary |
| 174400000X | Specialist | G32397 (California) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | G32397 (California) | 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. Dr Larry A Widman allows following entities to bill medicare on his behalf.
| Entity Name | Pinnacle Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669557930
PECOS PAC ID: 8921081076
Enrollment ID: O20040609001432 |
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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. Dr Larry A Widman 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 Larry A Widman, MD
4 Rossi Cir, Ste 141,
Salinas, CA 93907-2362
Ph: (831) 757-4444 | Dr Larry A Widman, MD
2 Rossi Cir,
Salinas, CA 93907-2370
Ph: (831) 770-0444 |
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