| Dr Scott Alan Larson, MD | |
|
305 E Jefferson St, Boise, ID 83712-6231 | |
| (208) 381-7370 | |
| (208) 381-6911 |
| Full Name | Dr Scott Alan Larson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 27 Years |
| Location | 305 E Jefferson St, Boise, Idaho |
| 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 |
|---|---|---|---|
| 1992757991 | NPI | - | NPPES |
| 120085200 | Medicaid | UT | |
| 12463 | Other | UT | U HEALTH PLANS |
| TPRA07668 | Other | UT | MOLINA TIN 876151902 |
| 100501869 | Medicaid | UT | |
| 1119924 | Medicaid | UT | |
| 806733700 | Medicaid | UT | |
| D8294 | Medicaid | UT | |
| 214773 | Other | UT | ALTIUS 876151902 |
| 52876571200001 | Other | UT | BCBS TIN 876151902 |
| 73587 | Other | UT | PEHP TIN 876151902 |
| 756072 | Other | UT | DMBA TIN 876151902 |
| 0079679 | Medicaid | UT | |
| 107018826102 | Other | UT | IHC TIN 876151902 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 34581 (Iowa) | Secondary |
| 207W00000X | Ophthalmology | 52876571205 (Utah) | Secondary |
| 207W00000X | Ophthalmology | 8961062 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Alan Larson, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Dr Scott Alan Larson, MD 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-7370 |
Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Ms. Denise Elizabeth Capps, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 | |
Wyatt Messenger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 E Mallard Dr Ste 110, Boise, ID 83706 Phone: 206-336-8700 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Matthew D Neale, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8955 W Hackamore Dr, Boise, ID 83709 Phone: 208-344-7944 Fax: 208-639-9360 |