Dr Ryan H Larsen, MD is a medicare enrolled "General Practice" physician in Logan, Utah. He went to University Of Utah School Of Medicine and graduated in 1985 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Atlas Medical Utah Llc and his current practice location is
258 S Main St Ste 210, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 383-6120.
Dr Ryan H Larsen is licensed to practice in Utah (license number 175141-1205) 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 1235224932.
Physician's Profile
| Full Name | Dr Ryan H Larsen |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 41 Years |
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| Location | 258 S Main St Ste 210, Logan, Utah |
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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:
- Dr Ryan H Larsen attended and graduated from University Of Utah School Of Medicine in 1985
NPI Data:
- NPI Number: 1235224932
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971525064
- Enrollment ID: I20060104000144
Medical Identifiers
Medical identifiers for Dr Ryan H Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235224932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 175141-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Atlas Medical Utah Llc | 4981937034 | 7 |
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 Ryan H Larsen allows following entities to bill medicare on his behalf.
| Entity Name | Atlas Medical Utah Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568928133
PECOS PAC ID: 4981937034
Enrollment ID: O20190605001965 |
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| Entity Name | Sound Physicians Of Wyoming, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982982708
PECOS PAC ID: 8325214828
Enrollment ID: O20240311002432 |
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| Entity Name | Atlas Medical Aco Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790513109
PECOS PAC ID: 1456885227
Enrollment ID: O20241115002118 |
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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 Ryan H 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 Ryan H Larsen, MD
258 S Main St Ste 210,
Logan, UT 84321-5768
Ph: (435) 383-6120 | Dr Ryan H Larsen, MD
258 S Main St Ste 210,
Logan, UT 84321-5768
Ph: (435) 383-6120 |
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