Larry D Mckenzie, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Broken Arrow, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Access Pain Solutions and his current practice location is
4716 W Urbana St Ste 200, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 710-4112.
Larry D Mckenzie is licensed to practice in Oklahoma (license number 3116) 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 1003875212.
Physician's Profile
| Full Name | Larry D Mckenzie |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 33 Years |
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| Location | 4716 W Urbana St Ste 200, Broken Arrow, Oklahoma |
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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:
- Larry D Mckenzie attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1003875212
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 07/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395749402
- Enrollment ID: I20060901000299
Medical Identifiers
Medical identifiers for Larry D Mckenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003875212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | 3116 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 3116 (Oklahoma) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 3116 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Access Pain Solutions | 2668620220 | 13 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Larry D Mckenzie allows following entities to bill medicare on his behalf.
| Entity Name | Ctca Physicans Group Of Oklahoma, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053309591
PECOS PAC ID: 2163328774
Enrollment ID: O20031212000074 |
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| Entity Name | Access Pain Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740535368
PECOS PAC ID: 2668620220
Enrollment ID: O20120924000708 |
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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. Larry D Mckenzie 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 |
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Larry D Mckenzie, DO
4716 W Urbana St Ste 200,
Broken Arrow, OK 74012-6162
Ph: (918) 710-4112 | Larry D Mckenzie, DO
4716 W Urbana St Ste 200,
Broken Arrow, OK 74012-6162
Ph: (918) 710-4112 |
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