Dr Mark J Larsen, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Orinda, California. His current practice location is
65 Loma Vista Dr, Orinda, California. You can reach out to his office (for appointments etc.) via phone at
(925) 258-4300.
Dr Mark J Larsen is licensed to practice in California (license number G51274) 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 1992894141.
Physician's Profile
| Full Name | Dr Mark J Larsen |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 65 Loma Vista Dr, Orinda, 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: 1992894141
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 09/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 0143129205
- Enrollment ID: I20040107000775
Medical Identifiers
Medical identifiers for Dr Mark J Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992894141 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | G51274 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 38096 (Kentucky) | Secondary |
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 Mark J Larsen 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 Mark J Larsen, MD
65 Loma Vista Dr,
Orinda, CA 94563-2236
Ph: (925) 258-4300 | Dr Mark J Larsen, MD
65 Loma Vista Dr,
Orinda, CA 94563-2236
Ph: (925) 258-4300 |
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