Derek Larsen, LMFT in Spanish Fork, UT - Medicare Marriage & Family Therapist Provider

Derek Larsen, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Spanish Fork, Utah. His current practice location is 1169 W 520 S, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 325-2252.

Derek Larsen is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679950166.

Contact Information

	Derek Larsen, LMFT
	1169 W 520 S, Spanish Fork, UT 84660-4801
	(385) 325-2252
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek Larsen
Gender	Male
Speciality	Marriage & Family Therapist
Location	1169 W 520 S, Spanish Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679950166
Provider Enumeration Date: 05/04/2015
Last Update Date: 07/08/2025

Medicare PECOS Information:

PECOS PAC ID: 5890143382
Enrollment ID: I20231121003585

Medical Identifiers

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

Identifier	Type	State	Issuer
1679950166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (Not Available))	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. Derek Larsen allows following entities to bill medicare on his behalf.

Entity Name	Wasatch Behavioral Health Special Service District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357115 PECOS PAC ID: 2567367915 Enrollment ID: O20031129000014

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 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
Derek Larsen, LMFT 1169 W 520 S, Spanish Fork, UT 84660-4801 Ph: (385) 325-2252	Derek Larsen, LMFT 1169 W 520 S, Spanish Fork, UT 84660-4801 Ph: (385) 325-2252

Reviews and Comments

Marriage & Family Therapist in Spanish Fork, UT

Marcus Hunt, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3273 E 1350 S, Spanish Fork, UT 84660 Phone: 801-995-8542
Tessa Marie Curtin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 826 N 100 E Ste 1, Spanish Fork, UT 84660 Phone: 801-515-2282
Mrs. Iesha Renee Gibbons, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 826 N 100 E Ste 1a, Spanish Fork, UT 84660 Phone: 801-901-2223
Andrew Brown, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 607 Kirby Ln, Spanish Fork, UT 84660 Phone: 801-852-3805 Fax: 801-794-6684
Lindsey Robinson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 826 N 100 E Ste 1a, Spanish Fork, UT 84660 Phone: 801-515-2282
Kaylynn Wheeler, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 N Main St, Spanish Fork, UT 84660 Phone: 801-477-0041
Alexis Driskell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 N Main St, Spanish Fork, UT 84660 Phone: 385-309-1189

Derek Larsen, LMFT - Medicare Couples Therapy in Spanish Fork, UT