Douglas C Larsen, PA - Medicare Physician Assistant in Omaha, NE

Douglas C Larsen, PA is a medicare enrolled "Physician Assistant" in Omaha, Nebraska. His current practice location is 11704 W Center Rd, Suite 211, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 393-7050.

Douglas C Larsen is licensed to practice in Nebraska (license number 689) 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 1053386631.

Contact Information

Douglas C Larsen, PA
11704 W Center Rd, Suite 211,
Omaha, NE 68144-4375
(402) 393-7050
(402) 393-2814



Provider's Profile

Full NameDouglas C Larsen
GenderMale
SpecialityPhysician Assistant
Location11704 W Center Rd, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053386631
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 06/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9032246947
  • Enrollment ID: I20100426000281

Medical Identifiers

Medical identifiers for Douglas C Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053386631NPI-NPPES
47077821700MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 689 (Nebraska)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. Douglas C 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 AddressPractice Location Address
Douglas C Larsen, PA
11704 W Center Rd, Suite 211,
Omaha, NE 68144-4375

Ph: (402) 393-7050
Douglas C Larsen, PA
11704 W Center Rd, Suite 211,
Omaha, NE 68144-4375

Ph: (402) 393-7050

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Physician Assistant Nurses in Omaha, NE

Neil C Jouvenat Ii, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4242 Farnam St Ste 650, Omaha, NE 68131
Phone: 402-559-8600    
Jennifer M Vaughn, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 601 N 30th St, Omaha, NE 68131
Phone: 402-449-4590    
Karen R Schrader, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198
Phone: 402-559-4015    Fax: 402-559-8715
Bridget A Burke, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198
Phone: 402-559-8000    Fax: 402-559-8746
Ms. Robbie L Lane, P.A.-C
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Medicare: Accepting Medicare Assignments
Practice Location: 8111 Dodge St, Suite 237, Omaha, NE 68114
Phone: 402-354-5210    
Mr. Ray Everett Skelton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 987400 Nebraska Medical Center, Omaha, NE 68198
Phone: 402-559-7592    
Kimberly Mccolley, P.A.-C.
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: Emile @ 42nd St, Omaha, NE 68198
Phone: 402-559-4015    Fax: 402-559-8715

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