Michael Thorpe Larsen, MD | |
370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | |
(614) 293-8652 | |
Not Available |
Full Name | Michael Thorpe Larsen |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 12 Years |
Location | 370 E Virginia Ave Ste 100, Phoenix, Arizona |
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 |
---|---|---|---|
1891040440 | NPI | - | NPPES |
553192 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | AO5603724206896 (Ohio) | Secondary |
2086S0105X | Surgery - Surgery Of The Hand | 58871 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
Banner Desert Medical Center | Mesa, AZ | Hospital |
Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
Honorhealth Deer Valley Medical Center | Phoenix, AZ | Hospital |
John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner - University Hospital Based Physicians Llc | 1052614294 | 255 |
Bhsm Rehabilitation Llc | 2062773138 | 1355 |
Arizona Center For Hand Surgery Pc | 4880585603 | 27 |
Entity Name | Arizona Center For Hand Surgery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972502227 PECOS PAC ID: 4880585603 Enrollment ID: O20040322001660 |
Entity Name | Banner - University Hospital Based Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Mailing Address | Practice Location Address |
---|---|
Michael Thorpe Larsen, MD 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 Ph: (602) 258-4788 | Michael Thorpe Larsen, MD 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 Ph: (614) 293-8652 |
Dr. Michael J Stumpf, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20940 N. Tatum Blvd. Ste #350, Phoenix, AZ 85050 Phone: 844-436-7874 Fax: 877-828-6834 | |
Dr. Owen Thomas Mccabe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Ms. Kathleen Dolores Van Leeuwen, MD Surgery Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0016 Fax: 602-933-4309 | |
Charles E Castillo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2320 N 3rd St, Phoenix, AZ 85004 Phone: 602-340-0201 Fax: 602-340-0367 | |
Dr. Jeromy Brink, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6040 N 7th St Ste 105, Phoenix, AZ 85014 Phone: 602-277-7430 Fax: 602-279-5333 | |
Gaby A P Iskander, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011 | |
Yafei Ouyang, MD Surgery Medicare: Medicare Enrolled Practice Location: 1441 N 12th St Fl 1, Phoenix, AZ 85006 Phone: 602-521-5981 |