| Dr Bruce D Larsen, MD | |
|
2850 N 2000 W, Farr West, UT 84404-9219 | |
| (801) 377-5757 | |
| Not Available |
| Full Name | Dr Bruce D Larsen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 2850 N 2000 W, Farr West, 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 |
|---|---|---|---|
| 1922189372 | NPI | - | NPPES |
| 942854058001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49625291205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Ogden Regional Medical Center | Ogden, UT | Hospital |
| Davis Hospital And Medical Center | Layton, UT | Hospital |
| Layton Hospital | Layton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Utah Clinic Pc | 7517868508 | 388 |
| Entity Name | Central Utah Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce D Larsen, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Dr Bruce D Larsen, MD 2850 N 2000 W, Farr West, UT 84404-9219 Ph: (801) 377-5757 |
Dr. Ann Marie Schmitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N 2000 W Ste 101, Farr West, UT 84404 Phone: 801-377-5757 | |
Dr. Julia Anne Rothgery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 N 2000 W, Farr West, UT 84404 Phone: 801-731-1222 |