Charles Steven Larsen, PA is a medicare enrolled "Radiology - Diagnostic Radiology" in Scottsdale, Arizona. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sonoran Radiology Ltd and his current practice location is
3501 N Scottsdale Rd Ste 130, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 425-5000.
Charles Steven Larsen is licensed to practice in Arizona (license number 3179) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164496030.
Provider's Profile
| Full Name | Charles Steven Larsen |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 13 Years |
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| Location | 3501 N Scottsdale Rd Ste 130, Scottsdale, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Steven Larsen graduated from nursing school in 2011
NPI Data:
- NPI Number: 1164496030
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 7517907645
- Enrollment ID: I20050509000659
Medical Identifiers
Medical identifiers for Charles Steven Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164496030 | NPI | - | NPPES |
| 636186 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 3179 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 3179 (Arizona) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 3179 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonoran Radiology Ltd | 3375964505 | 393 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Steven Larsen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Steven Larsen, PA
2323 W Rose Garden Ln,
Phoenix, AZ 85027-2530
Ph: (602) 521-6200 | Charles Steven Larsen, PA
3501 N Scottsdale Rd Ste 130,
Scottsdale, AZ 85251-5649
Ph: (480) 425-5000 |
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