Wade B Larsen, MD | |
2121 N 1700 W, Layton, UT 84041-8803 | |
(801) 773-4840 | |
(801) 525-8151 |
Full Name | Wade B Larsen |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 27 Years |
Location | 2121 N 1700 W, Layton, 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 |
---|---|---|---|
1326024191 | NPI | - | NPPES |
D4988 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 52642531205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davis Hospital And Medical Center | Layton, UT | Hospital |
Layton Hospital | Layton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tanner Memorial Clinic | 4284547985 | 215 |
Entity Name | Tanner Memorial Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
Entity Name | Physician Group Of Utah Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886 |
Entity Name | Salt Lake Surgical Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184150013 PECOS PAC ID: 0648540088 Enrollment ID: O20170718003096 |
Mailing Address | Practice Location Address |
---|---|
Wade B Larsen, MD Po Box 337, Layton, UT 84041-0337 Ph: (801) 773-4840 | Wade B Larsen, MD 2121 N 1700 W, Layton, UT 84041-8803 Ph: (801) 773-4840 |
Richard G. Barton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2132 N Robins Dr Ste 307, Layton, UT 84041 Phone: 801-807-7755 Fax: 801-807-7597 | |
Joseph W Jensen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1580 W Antelope Dr Ste 130b, Layton, UT 84041 Phone: 017-289-5558 Fax: 801-728-9259 | |
Dr. Jon C Oberg, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 | |
Robert Jacobsen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1822 E 1950 N, Layton, UT 84040 Phone: 801-544-1830 | |
Scott Lawson Baker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 | |
E Dean Flanders, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2121 N 1700 W, Layton, UT 84041 Phone: 801-773-4840 Fax: 801-525-8151 |