Jackie Larsen, in Springville, UT - Medicare Speech-Language Pathologist Provider

Jackie Larsen, is a medicare enrolled "Speech-language Pathologist" provider in Springville, Utah. Her current practice location is 1211 S 1530 W, Springville, Utah. You can reach out to her office (for appointments etc.) via phone at (562) 841-2877.

Jackie Larsen is licensed to practice in Utah (license number 115154024102) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659050177.

Contact Information

	Jackie Larsen,
	1211 S 1530 W, Springville, UT 84663-5074
	(562) 841-2877
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackie Larsen
Gender	Female
Speciality	Speech-language Pathologist
Location	1211 S 1530 W, Springville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659050177
Provider Enumeration Date: 07/12/2023
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0143674432
Enrollment ID: I20230920001464

Medical Identifiers

Medical identifiers for Jackie Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659050177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	115154024102 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jackie Larsen allows following entities to bill medicare on her behalf.

Provider Name	Live Well Speech Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952080475 PECOS PAC ID: 9234583527 Enrollment ID: O20230920001321

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. Jackie 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
Jackie Larsen, 1211 S 1530 W, Springville, UT 84663-5074 Ph: (562) 841-2877	Jackie Larsen, 1211 S 1530 W, Springville, UT 84663-5074 Ph: (562) 841-2877

Reviews and Comments

Speech-Language Pathologist in Springville, UT

Pamela Jamison, M.E/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1072 Wildflower Way, Springville, UT 84663 Phone: 385-314-0906
Ashley Bishop, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1829 W 1000 S, Springville, UT 84663 Phone: 208-757-0561
Laura Brynn Lewis, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1161 E 300 N, Springville, UT 84663 Phone: 801-661-5983
Melissa Burke Delange, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1072 Wildflower Way, Springville, UT 84663 Phone: 395-314-0906
Live Well Speech Therapy Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1211 S 1530 W, Springville, UT 84663 Phone: 562-841-2877

Jackie Larsen, - Medicare Speech-Language Pathologist in Springville, UT