Dr Larry Earl Reneker, DO is a medicare enrolled "Family Medicine" physician in Flagler Beach, Florida. His current practice location is
2622 S Daytona Ave, Flagler Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 503-3736.
Dr Larry Earl Reneker is licensed to practice in Florida (license number OS7082) 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 1619944469.
Physician's Profile
| Full Name | Dr Larry Earl Reneker |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2622 S Daytona Ave, Flagler Beach, Florida |
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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: 1619944469
- Provider Enumeration Date: 03/01/2006
- Last Update Date: 10/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789641150
- Enrollment ID: I20190708001141
Medical Identifiers
Medical identifiers for Dr Larry Earl Reneker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619944469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS7082 (Florida) | 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 Larry Earl Reneker 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 Earl Reneker, DO
2622 S Daytona Ave,
Flagler Beach, FL 32136-4093
Ph: (386) 503-3736 | Dr Larry Earl Reneker, DO
2622 S Daytona Ave,
Flagler Beach, FL 32136-4093
Ph: (386) 503-3736 |
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