Benjamin Zachary Larsen, MD is a medicare enrolled "General Practice" physician in Ogden, Utah. He went to University Of Texas Medical School At San Antonio and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is
4403 Harrison Blvd Ste 700a, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 387-5300.
Benjamin Zachary Larsen is licensed to practice in Utah (license number 11401709-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124519657.
Physician's Profile
Full Name | Benjamin Zachary Larsen |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 6 Years |
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Location | 4403 Harrison Blvd Ste 700a, Ogden, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Benjamin Zachary Larsen attended and graduated from University Of Texas Medical School At San Antonio in 2018
NPI Data:
- NPI Number: 1124519657
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921338211
- Enrollment ID: I20190930002520
Medical Identifiers
Medical identifiers for Benjamin Zachary Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124519657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 11401709-1205 (Utah) | Secondary |
208D00000X | General Practice | 11401709-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin Zachary Larsen allows following entities to bill medicare on his behalf.
Entity Name | Tanner Memorial Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
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Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Benjamin Zachary 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 Address | Practice Location Address |
Benjamin Zachary Larsen, MD 4403 Harrison Blvd Ste 700a, Ogden, UT 84403-3295 Ph: (801) 387-5300 | Benjamin Zachary Larsen, MD 4403 Harrison Blvd Ste 700a, Ogden, UT 84403-3295 Ph: (801) 387-5300 |
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