Dr Bruce D Larsen, MD | |
2850 N 2000 W, Farr West, UT 84404-9219 | |
(801) 377-5757 | |
Not Available |
Full Name | Dr Bruce D Larsen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 2850 N 2000 W, Farr West, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922189372 | NPI | - | NPPES |
942854058001 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 49625291205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Applegate Homecare | Ogden, UT | Home health agency |
Mckay Dee Hospital | Ogden, UT | Hospital |
Ogden Regional Medical Center | Ogden, UT | Hospital |
Davis Hospital And Medical Center | Layton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Utah Clinic Pc | 7517868508 | 386 |
Entity Name | Central Utah Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce D Larsen, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Dr Bruce D Larsen, MD 2850 N 2000 W, Farr West, UT 84404-9219 Ph: (801) 377-5757 |
Dr. Ann Marie Schmitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N 2000 W Ste 101, Farr West, UT 84404 Phone: 801-377-5757 | |
Dr. Julia Anne Rothgery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N 2000 W, Farr West, UT 84404 Phone: 801-731-1222 |