Everett Wayne Larsen, MD in Bountiful, UT

Everett Wayne Larsen, MD is a medicare enrolled "Anesthesiology" physician in Bountiful, Utah. He went to Medical College Of Wisconsin and graduated in 1988 and has 37 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Benefis Hospitals Inc and his current practice location is 630 Medical Dr, Bountiful, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 299-2160.

Everett Wayne Larsen is licensed to practice in Utah (license number 187423-1205) 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 1164450821.

Contact Information

	Everett Wayne Larsen, MD
	630 Medical Dr, Bountiful, UT 84010-4908
	(801) 299-2160
	(801) 299-2549

Map and Direction

Physician's Profile

Full Name	Everett Wayne Larsen
Gender	Male
Speciality	Anesthesiology
Experience	37 Years
Location	630 Medical Dr, Bountiful, Utah
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:

Everett Wayne Larsen attended and graduated from Medical College Of Wisconsin in 1988

NPI Data:

NPI Number: 1164450821
Provider Enumeration Date: 06/29/2006
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2365409943
Enrollment ID: I20250404003058

Medical Identifiers

Medical identifiers for Everett Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164450821	NPI	-	NPPES
11084	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	187423-1205 (Utah)	Primary
207L00000X	Anesthesiology	148317 (Montana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Benefis Hospitals Inc	Great falls, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Benefis Hospitals Inc	1153235296	339

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. Everett Wayne Larsen allows following entities to bill medicare on his behalf.

Entity Name	Benefis Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044

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. Everett Wayne 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
Everett Wayne Larsen, MD 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2160	Everett Wayne Larsen, MD 630 Medical Dr, Bountiful, UT 84010-4908 Ph: (801) 299-2160

Reviews and Comments

Anesthesiology Doctors in Bountiful, UT

Dr. Anthony C Faber, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787
Dr. Keith Arthur Kirkham, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787
Tory Scott Hinkle, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787
Dr. Blake J Brown, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787
Bryce Trump, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 877-594-2787
G. Scott Oldroyd, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 973 Bountiful Hills Dr, Bountiful, UT 84010 Phone: 801-726-2211

Everett Wayne Larsen, MD - Medicare Anesthesiology in Bountiful, UT