Dr Cody Braxton Larsen, MD in Glen Dale, WV - Medicare Emergency Medicine

Dr Cody Braxton Larsen, MD is a medicare enrolled "Emergency Medicine" physician in Glen Dale, West Virginia. He went to George Washington University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ignite Emergency Physicians A Medical Corporation and his current practice location is 800 Wheeling Ave, Glen Dale, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 845-3211.

Dr Cody Braxton Larsen is licensed to practice in West Virginia (license number 29862) 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 1003279456.

Contact Information

	Dr Cody Braxton Larsen, MD
	800 Wheeling Ave, Glen Dale, WV 26038-1660
	(304) 845-3211
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Cody Braxton Larsen
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	800 Wheeling Ave, Glen Dale, West Virginia
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:

Dr Cody Braxton Larsen attended and graduated from George Washington University School Of Medicine in 2016

NPI Data:

NPI Number: 1003279456
Provider Enumeration Date: 04/02/2016
Last Update Date: 04/20/2022

Medicare PECOS Information:

PECOS PAC ID: 0042637555
Enrollment ID: I20240626000669

Medical Identifiers

Medical identifiers for Dr Cody Braxton Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003279456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	25MA10897300 (New Jersey)	Secondary
207P00000X	Emergency Medicine	29862 (West Virginia)	Primary
207P00000X	Emergency Medicine	304201 (New York)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Desert Valley Hospital	Victorville, CA	Hospital
Chino Valley Medical Center	Chino, CA	Hospital
Montclair Hospital Medical Center	Montclair, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ignite Emergency Physicians A Medical Corporation	2365988326	22

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. Dr Cody Braxton Larsen allows following entities to bill medicare on his behalf.

Entity Name	Solano Gateway Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952344293 PECOS PAC ID: 5496725418 Enrollment ID: O20040916001355

Entity Name	Ignite Emergency Physicians A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437918307 PECOS PAC ID: 2365988326 Enrollment ID: O20240725003848

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. Dr Cody Braxton 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
Dr Cody Braxton Larsen, MD 263 18th Ave, San Francisco, CA 94121-2314 Ph: (415) 704-4757	Dr Cody Braxton Larsen, MD 800 Wheeling Ave, Glen Dale, WV 26038-1660 Ph: (304) 845-3211

Reviews and Comments

Emergency Medicine Doctors in Glen Dale, WV

Braylynn Diane Clark, APRN Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211
Dr. Joseph Matthew Palumbo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211
Debra L Henry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202
Michael Warren Burkhart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202
Shawn Posin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211
Fred Shaune Robertson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038 Phone: 304-845-3211 Fax: 304-843-3202

Dr Cody Braxton Larsen, MD - Medicare Emergency Medicine in Glen Dale, WV