Larry L Pack, MD is a
Orthopaedic Surgery physician based in Fenton, Michigan. Larry L Pack is licensed to practice in Michigan (license number 4301035400) and his current practice location is 2420 Owen Rd, Ste C, Fenton, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 750-5800.
NPI number for Larry L Pack is 1477534774 and his current mailing address is Po Box 590, Grand Blanc, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477534774.
Physician's Profile
| Full Name | Larry L Pack |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 2420 Owen Rd, Fenton, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477534774
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 07/07/2010
Medical Identifiers
Medical identifiers for Larry L Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477534774 | NPI | - | NPPES |
| 4940460 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 4301035400 (Michigan) | 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 L Pack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry L Pack, MD
Po Box 590,
Grand Blanc, MI 48480-0590
Ph: (810) 750-5800 | Larry L Pack, MD
2420 Owen Rd, Ste C,
Fenton, MI 48430-3417
Ph: (810) 750-5800 |
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