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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Dr. Shane Lyle Larson

M.D.

Family Medicine - Sports Medicine

NPI: 1750601191Fort Eustis, Virginia, 23604(757) 820-1043Male

About Dr. Shane Lyle Larson

Dr. Shane Lyle Larson, M.D., is a male healthcare professional specializing in Family Medicine - Sports Medicine with a focus on Sports Medicine, registered under National Provider Identifier (NPI) number 1750601191.

Their primary practice is located at 576 JEFFERSON AVE, Fort Eustis, Virginia 23604. Patients can reach the office at (757) 820-1043. Dr. Shane Lyle Larson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Dr. Shane Lyle Larson has been NPI-registered since 2010.

Doctor Details

Identity & Credentials

NPI Number
1750601191
Entity Type
Individual
First Name
Shane
Last Name
Larson
Credential
M.D.
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
576 JEFFERSON AVE
City
Fort Eustis
State
Virginia
ZIP
23604-1373
Country
United States
Phone
(757) 820-1043
Fax
(757) 820-1122

Specialty & Taxonomy

Primary Specialty
Family Medicine - Sports Medicine
Classification
Family Medicine
Specialization
Sports Medicine
Taxonomy Code
207QS0010X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
576 JEFFERSON AVE
City
FORT EUSTIS
State
VA
ZIP
236041373

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Dr. Shane Lyle Larson's NPI number?
Dr. Shane Lyle Larson's National Provider Identifier (NPI) is 1750601191. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dr. Shane Lyle Larson specialize in?
Dr. Shane Lyle Larson specializes in Family Medicine - Sports Medicine.
Where is Dr. Shane Lyle Larson located?
Dr. Shane Lyle Larson practices at 576 JEFFERSON AVE, Fort Eustis, Virginia 23604. You can reach them by phone at (757) 820-1043.
Does Dr. Shane Lyle Larson accept Medicare?
Yes, Dr. Shane Lyle Larson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dr. Shane Lyle Larson offer telehealth or virtual visits?
Dr. Shane Lyle Larson does not currently offer telehealth services. In-person visits are required at their practice location.
Can Dr. Shane Lyle Larson prescribe medications?
Yes, Dr. Shane Lyle Larson is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dr. Shane Lyle Larson is 1750601191.