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DR. SEAN BESEMANN LARSON DO
NPI 1790527844
Student in an Organized Health Care Education/Training Program in Quincy, IL

Active since June 10, 2024PECOS Enrolled
612 N 11TH ST, QUINCY, IL 62301(217) 224-9484(217) 224-7950 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2024, Jun 10, 2024 (2 updates tracked since 2024).

About Dr. Sean Besemann Larson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN BESEMANN LARSON DO (NPI 1790527844) is an individual student in an organized health care education/training program in Quincy, Illinois, licensed in Illinois (125.084012) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790527844
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SEAN BESEMANN LARSONCredential: DO
Location Address612 N 11TH STQuincy, IL 62301-2662
Mailing Address612 N 11th StQuincy, IL 62301-2662 · (217) 224-9484 · Fax (217) 224-7950
Phone(217) 224-9484
Fax(217) 224-7950
Sole ProprietorNo
Enumeration DateJune 10, 2024
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1790527844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125.084012
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 125084012 (IL)
612 N 11TH ST, Quincy, IL 62301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Besemann Larson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANDRA RANGEL
Social Worker
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. PICHAPA SANGSAWAD MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JACQUELINE RENEE BROWN PHARMD
Pharmacist
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
DR. EMMANUEL IFEANYICHUKWU OHAA MBCHB, MPH
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JASON CHAK SHAM HUI DO
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAVIER ANDRES VITERI QUINCHA MD
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484
JAMES LOVE M.D.
Internal Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 545-8000
DR. PAUL ANTHONY HIBBERT M.D.
Family Medicine
612 N 11TH ST
QUINCY, IL 62301
Adams County (217) 224-9484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Larson's NPI number?

The NPI number for Sean Larson is 1790527844. It was assigned to this individual provider in the NPPES registry on June 10, 2024.

Where is Sean Larson located?

Sean Larson practices at 612 N 11th St, Quincy, IL 62301. The listed phone number is (217) 224-9484.

What is Sean Larson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sean Larson enrolled in Medicare?

Yes. Sean Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sean Larson was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.