Dr Scott Alan Larson, MD | |
305 E Jefferson St, Boise, ID 83712-6231 | |
(208) 381-7370 | |
(208) 381-6911 |
Full Name | Dr Scott Alan Larson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 26 Years |
Location | 305 E Jefferson St, Boise, 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 |
---|---|---|---|
1992757991 | NPI | - | NPPES |
120085200 | Medicaid | UT | |
12463 | Other | UT | U HEALTH PLANS |
TPRA07668 | Other | UT | MOLINA TIN 876151902 |
100501869 | Medicaid | UT | |
1119924 | Medicaid | UT | |
806733700 | Medicaid | UT | |
D8294 | Medicaid | UT | |
214773 | Other | UT | ALTIUS 876151902 |
52876571200001 | Other | UT | BCBS TIN 876151902 |
73587 | Other | UT | PEHP TIN 876151902 |
756072 | Other | UT | DMBA TIN 876151902 |
0079679 | Medicaid | UT | |
107018826102 | Other | UT | IHC TIN 876151902 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 34581 (Iowa) | Secondary |
207W00000X | Ophthalmology | 52876571205 (Utah) | Secondary |
207W00000X | Ophthalmology | 8961062 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Iowa Hospital & Clinics | Iowa city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
State University Of Iowa | 7618884230 | 1549 |
Entity Name | State University Of Iowa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Alan Larson, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Scott Alan Larson, MD 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7370 |
Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Daniel R Brooks, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 222 N 2nd St, Ste 215, Boise, ID 83702 Phone: 208-381-6910 | |
John R Sonntag, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Ali Torab Parhiz, M.D Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 901 N Curtis Rd Ste 302, Boise, ID 83706 Phone: 812-424-2020 |