Jeremy Larsen, is a
Case Manager/care Coordinator based in Provo, Utah. Jeremy Larsen is licensed to practice in * (Not Available) (license number ) and his current practice location is
750 N Freedom Blvd, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 373-4760.
NPI number for Jeremy Larsen is 1598127169 and his current mailing address is 750 N Freedom Blvd, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598127169.
Healthcare Provider's Profile
Full Name | Jeremy Larsen |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 750 N Freedom Blvd, Provo, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598127169
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 10/11/2021
Medical Identifiers
Medical identifiers for Jeremy Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598127169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Jeremy Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremy Larsen, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 | Jeremy Larsen, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 373-4760 |
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