Dr Larry Joe Segroves, DO is a
General Practice physician based in Fenton, Michigan. Dr Larry Joe Segroves is licensed to practice in Michigan (license number 5101006595) and his current practice location is 12223 Windchill Way, Fenton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 629-9828.
NPI number for Dr Larry Joe Segroves is 1164715298 and his current mailing address is 12223 Windchill Way, Fenton, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164715298.
Physician's Profile
Full Name | Dr Larry Joe Segroves |
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Gender | Male |
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Speciality | General Practice |
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Location | 12223 Windchill Way, Fenton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164715298
- Provider Enumeration Date: 05/23/2011
- Last Update Date: 05/23/2011
Medical Identifiers
Medical identifiers for Dr Larry Joe Segroves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164715298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 5101006595 (Michigan) | 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 Joe Segroves is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Larry Joe Segroves, DO 12223 Windchill Way, Fenton, MI 48430-3510 Ph: (810) 629-9828 | Dr Larry Joe Segroves, DO 12223 Windchill Way, Fenton, MI 48430-3510 Ph: (810) 629-9828 |
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