Everett Wayne Larsen, MD is a medicare enrolled "Anesthesiology" physician in Centerville, Utah. He went to Medical College Of Wisconsin and graduated in 1988 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Western Anesthesia Associates Llc and his current practice location is
1786 N Main St, Centerville, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 599-5905.
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.
Physician's Profile
| Full Name | Everett Wayne Larsen |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Experience | 38 Years |
|---|
| Location | 1786 N Main St, Centerville, 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: 04/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 2365409943
- Enrollment ID: I20041216000043
Medical Identifiers
Medical identifiers for Everett Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164450821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 187423-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Western Anesthesia Associates Llc | 3274590856 | 17 |
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 | Western Anesthesia Associates LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1174566277 PECOS PAC ID: 3274590856 Enrollment ID: O20041215000445 |
|---|
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 1786 N Main St, Centerville, UT 84014-1133 Ph: (801) 599-5905 | Everett Wayne Larsen, MD 1786 N Main St, Centerville, UT 84014-1133 Ph: (801) 599-5905 |
Reviews and Comments