Steven Allen Larsen, MD | |
777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 | |
(208) 239-1000 | |
Not Available |
Full Name | Steven Allen Larsen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 777 Hospital Way, Pocatello, 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 |
---|---|---|---|
1508953555 | NPI | - | NPPES |
005925 | Medicaid | OR | |
807481100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | M-9927 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Mountain View Hospital | Idaho falls, ID | Hospital |
Minidoka Memorial Hospital | Rupert, ID | Hospital |
Star Valley Medical Center | Afton, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Caldwell | 2365892742 | 9 |
Columbus Radiology Physicians Llc | 3971863416 | 59 |
Cumberland Imaging Associates Pc | 4284735051 | 51 |
Cache Valley Vein | 5294069563 | 8 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 46 |
Direct Radiology Pllc | 9436396165 | 33 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Caldwell | 2365892742 | 9 |
Cache Valley Vein | 5294069563 | 8 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 46 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Caldwell | 2365892742 | 9 |
Cache Valley Vein | 5294069563 | 8 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 46 |
Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 35 |
Teton Radiology Caldwell | 2365892742 | 9 |
Cache Valley Vein | 5294069563 | 8 |
Teton Radiology Madison Llc | 6901958024 | 30 |
Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
Entity Name | Teton Radiology Diagnostic A Series Of Teton Group Enterprise |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013085604 PECOS PAC ID: 1254436959 Enrollment ID: O20070424000540 |
Entity Name | Teton Radiology Madison Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407081060 PECOS PAC ID: 6901958024 Enrollment ID: O20090720000575 |
Entity Name | Imaging Center Of Idaho, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801090204 PECOS PAC ID: 2668560681 Enrollment ID: O20091201000390 |
Entity Name | Direct Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144572173 PECOS PAC ID: 9436396165 Enrollment ID: O20140226000947 |
Entity Name | Teton Vascular Institute Of Pocatello A Series Of Teton Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508224379 PECOS PAC ID: 8921306846 Enrollment ID: O20160409000003 |
Entity Name | Oroville Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160411000609 |
Entity Name | Radiology Consultants Of Lynchburg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
Entity Name | Columbus Radiology Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
Entity Name | Cumberland Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
Entity Name | Mountain Medical Physician Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200319002100 |
Entity Name | Tennessee Valley Radiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
Entity Name | Centra Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20230911000817 |
Entity Name | Cache Valley Vein |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831662311 PECOS PAC ID: 5294069563 Enrollment ID: O20231106001459 |
Entity Name | Cmsc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228003518 |
Entity Name | Teton Radiology Caldwell |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20240320000965 |
Mailing Address | Practice Location Address |
---|---|
Steven Allen Larsen, MD 2265 E Sunnyside Rd, Bldg B, Idaho Falls, ID 83404-7598 Ph: (208) 542-5000 | Steven Allen Larsen, MD 777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Ailee Marie Justo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Michael Sparks, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4276 | |
Artur Narkiewicz-jodko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Allen A. Eng, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-233-1187 Fax: 208-233-1187 | |
Dr. Lorin C Bachman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Jade Forbush, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 1334 N Main St, Pocatello, ID 83204 Phone: 208-539-7399 Fax: 208-417-0882 | |
Dr. John H Whiting Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way, Suite 701, Pocatello, ID 83201 Phone: 208-233-7931 Fax: 208-233-0423 |