Derek R Larson, LCSW in Hill Afb, UT - Medicare Clinical Social Worker Provider

Derek R Larson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hill Afb, Utah. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Ihc Health Services Inc and his current practice location is 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 777-7909.

Derek R Larson is licensed to practice in Utah (license number 4941733-3501) 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 1194731091.

Contact Information

	Derek R Larson, LCSW
	75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056
	(801) 777-7909
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek R Larson
Gender	Male
Speciality	Clinical Social Worker
Experience	22 Years
Location	75th Medical Group, Hill Afb, 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.

Medical Education and Training:

Derek R Larson graduated from medical school in 2003

NPI Data:

NPI Number: 1194731091
Provider Enumeration Date: 07/31/2006
Last Update Date: 12/03/2024

Medicare PECOS Information:

PECOS PAC ID: 3678664968
Enrollment ID: I20070731000582

Medical Identifiers

Medical identifiers for Derek R Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194731091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4941733-3501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3531

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. Derek R Larson allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Derek R Larson 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
Derek R Larson, LCSW 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Ph: (801) 777-7909	Derek R Larson, LCSW 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Ph: (801) 777-7909

Reviews and Comments

Social Worker in Hill Afb, UT

Alisha Delacruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7319 Balmer St # 546, Hill Afb, UT 84056 Phone: 801-777-3497
John David Larsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Phone: 801-777-3497
Kelly Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 Phone: 801-777-7909
Stephanie Mullins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-777-7909
Dr. Betsy Nicholson Callahan, DSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Lifeskills Support Ctr, Hill Air Force Base, Hill Afb, UT 84056 Phone: 801-777-7909 Fax: 801-777-4490
Julie A Pinchak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7329 11th St Bldg 547, 75 Mdos/sgohf, Hill Afb, UT 84056 Phone: 801-777-3497 Fax: 801-586-4011

Derek R Larson, LCSW - Medicare Clinical Social Worker in Hill Afb, UT