Dr Sean Besemann Larson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Quincy, Illinois. His current practice location is
612 N 11th St, Quincy, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 224-9484.
Dr Sean Besemann Larson is licensed to practice in Illinois (license number 125.084012) 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 1790527844.
Physician's Profile
Full Name | Dr Sean Besemann Larson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 612 N 11th St, Quincy, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790527844
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860937547
- Enrollment ID: I20240717004140
Medical Identifiers
Medical identifiers for Dr Sean Besemann Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790527844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 125084012 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 125.084012 (Illinois) | 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 Sean Besemann Larson 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 Sean Besemann Larson, DO 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 | Dr Sean Besemann Larson, DO 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 |
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