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

  1. Home
  2. Emergency Medicine
  3. WV
  4. Glen Dale
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 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Camden-clark Physician Corporation, Wetzel County Hospital Inc 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 NameDr Cody Braxton Larsen
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location800 Wheeling Ave, Glen Dale, West Virginia
Accepts Medicare AssignmentsYes. 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: I20200828002266

Medical Identifiers

Medical identifiers for Dr Cody Braxton Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003279456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MA10897300 (New Jersey)Secondary
207P00000XEmergency Medicine 29862 (West Virginia)Primary
207P00000XEmergency Medicine 304201 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Camden Clark Medical CenterParkersburg, WVHospital
Wetzel County HospitalNew martinsville, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Camden-clark Physician Corporation5294885661185
Wetzel County Hospital Inc428406540041

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 NamePotomac Valley Hospital Of Wva, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316054919
PECOS PAC ID: 8123917788
Enrollment ID: O20040311001344
Entity NameBraxton County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356304547
PECOS PAC ID: 5193717759
Enrollment ID: O20040401001560
Entity NameReynolds Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896
Entity NameWest Virginia University Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598847634
PECOS PAC ID: 9537077441
Enrollment ID: O20050404000512
Entity NameCamden-clark Physician Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710125430
PECOS PAC ID: 5294885661
Enrollment ID: O20090604000570
Entity NameWetzel County Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518590033
PECOS PAC ID: 4284065400
Enrollment ID: O20200520000593
Entity NameIvy Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700558798
PECOS PAC ID: 4981097797
Enrollment ID: O20220131000462

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 AddressPractice 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: Not Enrolled in Medicare
Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038
Phone: 304-845-3211    
Dr. Joseph Matthew Palumbo, DO
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 800 Wheeling Ave, Glen Dale, WV 26038
Phone: 304-845-3211    
Debra L Henry, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.