Lars Stangenberg, MD - Medicare Vascular Surgery in Providence, RI

Lars Stangenberg, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Providence, Rhode Island. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc and his current practice location is 2 Dudley St, Suite 470, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 553-8318.

Lars Stangenberg is licensed to practice in Rhode Island (license number MD15584) 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 1003077090.

Contact Information

Lars Stangenberg, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236
(401) 553-8318
(401) 868-2307



Physician's Profile

Full NameLars Stangenberg
GenderMale
SpecialityVascular Surgery
Experience19 Years
Location2 Dudley St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lars Stangenberg graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1003077090
  • Provider Enumeration Date: 06/23/2008
  • Last Update Date: 01/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9032372511
  • Enrollment ID: I20200309002602

Medical Identifiers

Medical identifiers for Lars Stangenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003077090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology L-236269 (Massachusetts)Secondary
2086S0129XSurgery - Vascular Surgery MD15584 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beth Israel Deaconess Medical CenterBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc44865671041344

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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. Lars Stangenberg allows following entities to bill medicare on his behalf.
Entity NameHarvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720037385
PECOS PAC ID: 4486567104
Enrollment ID: O20031203000426

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Entity NameMt Auburn Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992750996
PECOS PAC ID: 6103725031
Enrollment ID: O20040527001374

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Entity NameBeth Israel Deaconess Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548202641
PECOS PAC ID: 8123936119
Enrollment ID: O20041001000827

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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. Lars Stangenberg 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 AddressPractice Location Address
Lars Stangenberg, MD
Po Box 16149,
Rumford, RI 02916-0697

Ph: (401) 453-9625
Lars Stangenberg, MD
2 Dudley St, Suite 470,
Providence, RI 02905-3236

Ph: (401) 553-8318

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Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Sagar Mulay,
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Dewahar Senthoor, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    

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