| Brett Robert Larsen, MD | |
|
3903 Harrison Blvd, 100, Ogden, UT 84403-2361 | |
| (801) 387-7466 | |
| Not Available |
| Full Name | Brett Robert Larsen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 3903 Harrison Blvd, Ogden, 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 |
|---|---|---|---|
| 1750744421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 12220359-1205 (Utah) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 12220359-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intermountain Medical Center | Murray, UT | Hospital |
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Cedar City Hospital | Cedar city, UT | Hospital |
| Lds Hospital | Salt lake city, UT | Hospital |
| Riverton Hospital | Riverton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Health Services Inc | 1850209420 | 3531 |
| 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 |
| Entity Name | Tellica Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Robert Larsen, MD 3903 Harrison Blvd, 100, Ogden, UT 84403-2361 Ph: (801) 387-7466 | Brett Robert Larsen, MD 3903 Harrison Blvd, 100, Ogden, UT 84403-2361 Ph: (801) 387-7466 |
Gary Lynn Whipple, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7400 | |
Dr. Barry M Birkin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2910 Washington Blvd, #310, Ogden, UT 84401 Phone: 801-621-6671 Fax: 801-627-6679 | |
Jason N Lance, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4650 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3830 Fax: 801-475-3838 | |
Dr. Shawn Dale Isaeff, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, Ogden, UT 84403 Phone: 801-917-2270 | |
Alison Brandeis Johnson, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3903 Medical Dr Ste 100, Ogden, UT 84403 Phone: 801-387-8900 | |
Chase Collingford Hansen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-479-2570 Fax: 801-479-2581 | |
Dr. Brandon J Fisher, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5475 S 500 E, Ogden, UT 84405 Phone: 801-475-4571 Fax: 801-475-6119 |