Dr Michael J Larson, MD | |
360 East Main, Rexburg, ID 83440 | |
(208) 356-9550 | |
(208) 356-8023 |
Full Name | Dr Michael J Larson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 44 Years |
Location | 360 East Main, Rexburg, Idaho |
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 |
---|---|---|---|
1518960087 | NPI | - | NPPES |
003807100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | M-5158 (Idaho) | Secondary |
207X00000X | Orthopaedic Surgery | M5158 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Madison Memorial Hospital | Rexburg, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upper Valley Orthopedics Pllc | 1557431137 | 3 |
Entity Name | Upper Valley Orthopedics Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184799298 PECOS PAC ID: 1557431137 Enrollment ID: O20080609000645 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Larson, MD 360 East Main, Rexburg, ID 83440 Ph: (208) 356-9550 | Dr Michael J Larson, MD 360 East Main, Rexburg, ID 83440 Ph: (208) 356-9550 |
Mr. Ronald G Mills, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-356-9666 Fax: 208-356-9663 | |
Matheau Eysser, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-6781 Fax: 208-356-3111 | |
Travis Roy Torngren, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 E Main St, Rexburg, ID 83440 Phone: 208-356-9550 Fax: 208-356-8023 | |
Zackery J Cleverley, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 E Main St, Rexburg, ID 83440 Phone: 208-356-9550 Fax: 208-356-8023 | |
Dr. Kevin M Lee, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 360 East Main, Rexburg, ID 83440 Phone: 208-356-9550 Fax: 208-356-8023 |