Dr Larry Kyle Gambrell, DO is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Sebastopol, California. His current practice location is
6880 Palm Avenue, Sebastopol, California. You can reach out to his office (for appointments etc.) via phone at
(707) 823-7628.
Dr Larry Kyle Gambrell is licensed to practice in California (license number 20A9837) 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 1275621963.
Physician's Profile
| Full Name | Dr Larry Kyle Gambrell |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 6880 Palm Avenue, Sebastopol, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larry Kyle Gambrell attended and graduated from in
NPI Data:
- NPI Number: 1275621963
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 03/03/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Larry Kyle Gambrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275621963 | NPI | - | NPPES |
| CA107813 | Other | CA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 20A9837 (California) | 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 Kyle Gambrell 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 Kyle Gambrell, DO
6880 Palm Ave,
Sebastopol, CA 95472-4270
Ph: (707) 823-7628 | Dr Larry Kyle Gambrell, DO
6880 Palm Avenue,
Sebastopol, CA 95472
Ph: (707) 823-7628 |
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