Dr Chari D Larsen, MD in Salt Lake City, UT

Dr Chari D Larsen, MD is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. Her current practice location is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 662-1000.

Dr Chari D Larsen is licensed to practice in Utah (license number 8437490-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437458221.

Contact Information

	Dr Chari D Larsen, MD
	100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Chari D Larsen
Gender	Female
Speciality	Pediatrics
Location	100 Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437458221
Provider Enumeration Date: 03/20/2011
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 3870726193
Enrollment ID: I20140716001252

Medical Identifiers

Medical identifiers for Dr Chari D Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437458221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	8437490-1205 (Utah)	Secondary
208000000X	Pediatrics	8437490-1205 (Utah)	Primary

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. Dr Chari D Larsen allows following entities to bill medicare on her behalf.

Entity Name	Pediatric Emergency Medicine Department Of University Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275570665 PECOS PAC ID: 0840233540 Enrollment ID: O20050603000476

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Pediatric Rapid Treatment Unit Department Of University Of Utah
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972557593 PECOS PAC ID: 5991846313 Enrollment ID: O20100107000593

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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. Dr Chari D 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
Dr Chari D Larsen, MD Po Box 581100, Salt Lake City, UT 84158-1100 Ph: (801) 213-3800	Dr Chari D Larsen, MD 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-1000

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588
Michelle Ploutz, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 018-213-7778

Dr Chari D Larsen, MD - Medicare Pediatrics in Salt Lake City, UT