Larry Kenneth O'bryant, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Puyallup, Washington. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1989 and has 35 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Western Washington Pathology Ps and his current practice location is
407 14th Ave Se, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 697-5647.
Larry Kenneth O'bryant is licensed to practice in Washington (license number MD38704) 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 1578614749.
Physician's Profile
Full Name | Larry Kenneth O'bryant |
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Gender | Male |
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Speciality | Pathology |
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Experience | 35 Years |
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Location | 407 14th Ave Se, Puyallup, Washington |
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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. |
Medical Education and Training:
- Larry Kenneth O'bryant attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1989
NPI Data:
- NPI Number: 1578614749
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 05/21/2008
Medicare PECOS Information:
- PECOS PAC ID: 5496820649
- Enrollment ID: I20100820000281
Medical Identifiers
Medical identifiers for Larry Kenneth O'bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578614749 | NPI | - | NPPES |
8286821 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD38704 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Western Washington Pathology Ps | 8820987654 | 8 |
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 Kenneth O'bryant allows following entities to bill medicare on his behalf.
Entity Name | Western Washington Pathology Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073650610 PECOS PAC ID: 8820987654 Enrollment ID: O20040311000460 |
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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 Kenneth O'bryant 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 |
Larry Kenneth O'bryant, MD 2910 16th St Se, Puyallup, WA 98374-1379 Ph: () - | Larry Kenneth O'bryant, MD 407 14th Ave Se, Puyallup, WA 98372-3770 Ph: (253) 697-5647 |
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