Dr Jaiva Blair Larsen, MD - Medicare Emergency Medicine in Tucson, AZ

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Dr Jaiva Blair Larsen, MD is a medicare enrolled "Emergency Medicine" physician in Tucson, Arizona. Her current practice location is 2800 E Ajo Way, Ua/uphk Gme Consortium Emergency Medicine Program, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (503) 939-6612.

Dr Jaiva Blair Larsen is licensed to practice in Arizona (license number R72785) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275820888.

Contact Information

Dr Jaiva Blair Larsen, MD
2800 E Ajo Way, Ua/uphk Gme Consortium Emergency Medicine Program,
Tucson, AZ 85713-6204
(503) 939-6612
Not Available

Map and Direction




Physician's Profile

Full NameDr Jaiva Blair Larsen
GenderFemale
SpecialityEmergency Medicine
Location2800 E Ajo Way, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275820888
  • Provider Enumeration Date: 07/03/2011
  • Last Update Date: 06/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6204054828
  • Enrollment ID: I20140822002632

Medical Identifiers

Medical identifiers for Dr Jaiva Blair Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275820888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R72785 (Arizona)Primary

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 Jaiva Blair Larsen allows following entities to bill medicare on her behalf.
Entity NameRedondo Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376834937
PECOS PAC ID: 9032388269
Enrollment ID: O20110804000471
Entity NameAcute Medical Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942571146
PECOS PAC ID: 1153589874
Enrollment ID: O20120225000135
Entity NameHuntington Park Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053747121
PECOS PAC ID: 9638305204
Enrollment ID: O20131204001371
Entity NameSound Physicians Emergency Medicine Of Southern California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194180968
PECOS PAC ID: 9436406964
Enrollment ID: O20180716001079

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 Jaiva Blair 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 Jaiva Blair Larsen, MD
2800 E Ajo Way, Ua/uphk Gme Consortium Emergency Medicine Program,
Tucson, AZ 85713-6204

Ph: (503) 939-6612		Dr Jaiva Blair Larsen, MD
2800 E Ajo Way, Ua/uphk Gme Consortium Emergency Medicine Program,
Tucson, AZ 85713-6204

Ph: (503) 939-6612

Reviews and Comments


Emergency Medicine Doctors in Tucson, AZ

Martin Demant,
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Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724
Phone: 520-626-6507    Fax: 520-626-5675
John Guisto, MD
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Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724
Phone: 520-874-3500    
Dr. Christopher Scott Florence, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 5301 E Grant Road, Tucson Medical Center Emergency Department, Tucson, AZ 85712
Phone: 520-324-1922    Fax: 520-324-1088
Dr. Jose Carbajal, MD
Emergency Medicine
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Practice Location: 350 N Wilmot Rd, Tucson, AZ 85711
Phone: 520-873-5429    
Dr. Ajit Itty, M.D.
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Practice Location: 1609 N Warren Ave Rm 118, Tucson, AZ 85724
Phone: 520-626-6312    
James Daehyun Kim, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724
Phone: 520-626-7233    
Philipp Lorenz Hannan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3950 S Country Club Rd, Tucson, AZ 85714
Phone: 520-626-5582    

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.