E Wayne Larsen, MD | |
630 Medical Dr, Bountiful, UT 84010-4908 | |
(801) 299-2160 | |
(801) 299-2549 |
Full Name | E Wayne Larsen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 630 Medical Dr, Bountiful, 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 |
---|---|---|---|
1164450821 | NPI | - | NPPES |
11084 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 187423-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeview Hospital | Bountiful, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Anesthesia Associates Llc | 3274590856 | 13 |
Entity Name | Western Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174566277 PECOS PAC ID: 3274590856 Enrollment ID: O20041215000445 |
Mailing Address | Practice Location Address |
---|---|
E Wayne Larsen, MD 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2160 | E Wayne Larsen, MD 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2160 |
Dr. Anthony C Faber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787 | |
Dr. Keith Arthur Kirkham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787 | |
Tory Scott Hinkle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787 | |
Dr. Blake J Brown, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787 | |
Bryce Trump, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787 | |
G. Scott Oldroyd, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 973 Bountiful Hills Dr, Bountiful, UT 84010 Phone: 801-726-2211 |