Charles Steven Larsen, PA is a medicare enrolled "Physician Assistant" physician in Scottsdale, Arizona. He graduated from medical school in 2001 and has 24 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.
Physician'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 | 24 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 medical school in 2001
NPI Data:
- NPI Number: 1164496030
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 11/25/2025
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 |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 3179 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 3179 (Arizona) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 3179 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonoran Radiology Ltd | 3375964505 | 386 |
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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