Question 1

What type of a medical provider is Larry Renn Carpenter?

Accepted Answer

Larry Renn Carpenter is a Physician Assistant (Medical).

Question 2

Where does Larry Renn Carpenter practice medicine?

Accepted Answer

Larry Renn Carpenter has the following practice address:100 3RD ST STE 1, DAVENPORT, WA 99122-5008

Question 3

Does this provider have a license number?

Accepted Answer

Larry Renn Carpenter has the following license number: License Number PA60136165 issued in Washington.

Question 4

Does Larry Renn Carpenter accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Larry Renn Carpenter have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Larry Renn Carpenter a member of any Medical Groups?

Accepted Answer

Larry Renn Carpenter is affiliated with one medical group in the DAVENPORT area, LINCOLN COUNTY HOSPITAL DISTRICT 3.

Question 7

Does Larry Renn Carpenter participate in PECOS?

Accepted Answer

Yes, Larry Renn Carpenter participates in PECOS.

Question 8

What phone number can I call to contact Larry Renn Carpenter?

Accepted Answer

You can call the following number: (509)-725-7501

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Larry Renn Carpenter.

Question 10

Is Larry Renn Carpenter  affiliated with any hospitals?

Accepted Answer

The provider is affiliated with the following hospital: LINCOLN HOSPITAL

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 5 years ago (3/23/2020).

Type/Issuer	Identifier	State
MEDICAID	2005809	WA
WASHINGTON STATE DEPT OF LABOR & INDUSTRIES	295800	WA

Taxonomy	State	Primary?
Physician Assistant (Medical) - Taxonomy Code 363AM0700X	--	Y
Physician Assistant - Taxonomy Code 363A00000X	WA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20100310000492
PECOS Individual PAC ID:	6608928601
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Larry Renn Carpenter

Overview