Larry J Hogan, PAC is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Altanta, Georgia. His current practice location is
1365 Clifton Rd Ne, Altanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 778-5288.
Larry J Hogan is licensed to practice in Georgia (license number 001832) 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 1518906189.
Physician's Profile
| Full Name | Larry J Hogan |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1365 Clifton Rd Ne, Altanta, Georgia |
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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: 1518906189
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355631995
- Enrollment ID: I20160609001467
Medical Identifiers
Medical identifiers for Larry J Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518906189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 001832 (Georgia) | 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. Larry J Hogan 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 J Hogan, PAC
640 Cumberland Rd Ne,
Altanta, GA 30306
Ph: (404) 873-5292 | Larry J Hogan, PAC
1365 Clifton Rd Ne,
Altanta, GA 30322
Ph: (404) 778-5288 |
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