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

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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. 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164450821.

Contact Information

Everett Wayne Larsen, MD
1786 N Main St,
Centerville, UT 84014-1133
(801) 599-5905
Not Available

Map and Direction




Physician's Profile

Full NameEverett Wayne Larsen
GenderMale
SpecialityAnesthesiology
Experience38 Years
Location1786 N Main St, Centerville, Utah
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for 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: I20250404003058

Medical Identifiers

Medical identifiers for Everett Wayne Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164450821NPI-NPPES
11084MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 187423-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Benefis Hospitals IncGreat falls, MTHospital

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 NameBenefis Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


Anesthesiology Doctors in Centerville, UT

Dr. Earl K Leeman, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 217 W Summerhill Ln, Centerville, UT 84014
Phone: 801-628-3839    

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.