John A Larsen, MD | |
11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | |
(253) 985-6403 | |
(253) 985-2948 |
Full Name | John A Larsen |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 38 Years |
Location | 11315 Bridgeport Way Sw, Lakewood, Washington |
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 |
---|---|---|---|
1932128576 | NPI | - | NPPES |
1120435 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00043782 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Anesthesiology Group Pc | 3476451659 | 225 |
Entity Name | Oregon Anesthesiology Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20231116003035 |
Mailing Address | Practice Location Address |
---|---|
John A Larsen, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 | John A Larsen, MD 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 Ph: (253) 985-6403 |
Joann Alexanian, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11315 Bridgeport Way Sw, St Clare Hospital, Lakewood, WA 98499 Phone: 253-581-6403 Fax: 253-584-6544 | |
Dr. Carlo Claudio Manetti, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 13 Ponce De Leon Ter Sw, Lakewood, WA 98499 Phone: 253-584-1826 | |
Robert Mason, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-984-6403 Fax: 253-985-2948 | |
Dr. Todd Donato, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-985-6403 Fax: 253-985-2948 | |
Dr. Adam Richard Olsson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499 Phone: 253-985-2949 Fax: 253-274-7994 | |
Kyong Ho Kim, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11306 Bridgeport Way Sw, Suite D, Lakewood, WA 98499 Phone: 253-983-9390 Fax: 253-983-0066 | |
Jorge M Merced, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, St Clare Hospital, Lakewood, WA 98499 Phone: 253-581-6403 Fax: 253-584-6544 |