Thomas Larsen, MD in South Bend, IN - Medicare Family Practice

Thomas Larsen, MD is a medicare enrolled "Family Medicine" physician in South Bend, Indiana. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Beacon Medical Group Inc, The South Bend Clinic Llc and his current practice location is 4440 Portage Ave, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 204-6200.

Thomas Larsen is licensed to practice in Indiana (license number 01075173A) 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 1285998146.

Contact Information

	Thomas Larsen, MD
	4440 Portage Ave, South Bend, IN 46628-9570
	(574) 204-6200
	(574) 239-1520

Map and Direction

Physician's Profile

Full Name	Thomas Larsen
Gender	Male
Speciality	Family Practice
Experience	16 Years
Location	4440 Portage Ave, South Bend, Indiana
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:

Thomas Larsen graduated from medical school in 2008

NPI Data:

NPI Number: 1285998146
Provider Enumeration Date: 06/26/2012
Last Update Date: 09/09/2015

Medicare PECOS Information:

PECOS PAC ID: 1355589284
Enrollment ID: I20150611000123

Medical Identifiers

Medical identifiers for Thomas Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285998146	NPI	-	NPPES
201112870	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01075173A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Elara Caring	Kokomo, IN	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Medical Group Inc	1254243306	444
The South Bend Clinic Llc	3779577937	173

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. Thomas Larsen allows following entities to bill medicare on his behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

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. Thomas Larsen 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
Thomas Larsen, MD 4440 Portage Ave, South Bend, IN 46628-9570 Ph: (574) 204-6200	Thomas Larsen, MD 4440 Portage Ave, South Bend, IN 46628-9570 Ph: (574) 204-6200

Reviews and Comments

Family Medicine Doctors in South Bend, IN

Dr. Jon Andrew Shull, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 High St, South Bend, IN 46613 Phone: 574-647-1400 Fax: 574-237-6663
Louis Cavadini, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9395 Fax: 574-204-6345
Dale Alan Patterson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477
Dr. Nicholas Harold Kerr, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094
Dr. Curtis L Gongwer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 North Portage Avenue, South Bend, IN 46628 Phone: 574-204-6200 Fax: 574-288-1426
Robert Hays, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17321 State Road 23, South Bend, IN 46635 Phone: 574-335-8400 Fax: 574-335-0796
Matthew T. Dupre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 714 N Michigan St, South Bend, IN 46601 Phone: 574-647-7477 Fax: 574-647-3655

Thomas Larsen, MD - Medicare Family Practice in South Bend, IN