Dr Ryan H Larsen, MD is a medicare enrolled "General Practice" physician in Logan, Utah. His current practice location is
258 S Main St Ste 210, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 383-6120.
Dr Ryan H Larsen is licensed to practice in Utah (license number 175141-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235224932.
Physician's Profile
Full Name | Dr Ryan H Larsen |
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Gender | Male |
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Speciality | General Practice |
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Location | 258 S Main St Ste 210, Logan, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235224932
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971525064
- Enrollment ID: I20060104000144
Medical Identifiers
Medical identifiers for Dr Ryan H Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235224932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 175141-1205 (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 Ryan H Larsen allows following entities to bill medicare on his behalf.
Entity Name | Atlas Medical Utah Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568928133 PECOS PAC ID: 4981937034 Enrollment ID: O20190605001965 |
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Entity Name | Sound Physicians Of Wyoming, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20240311002432 |
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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. Dr Ryan H 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 Ryan H Larsen, MD 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120 | Dr Ryan H Larsen, MD 258 S Main St Ste 210, Logan, UT 84321-5768 Ph: (435) 383-6120 |
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