Mitchell Williams Larsen, MD in Provo, UT

Mitchell Williams Larsen, MD is a medicare enrolled "Orthopaedic Surgery" physician in Provo, Utah. He went to Georgetown University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1055 N 500 W, Suite 121, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 373-7350.

Mitchell Williams Larsen is licensed to practice in Utah (license number 5777288-1205) 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 1205928546.

Contact Information

	Mitchell Williams Larsen, MD
	1055 N 500 W, Suite 121, Provo, UT 84064
	(801) 373-7350
	(801) 812-5401

Map and Direction

Physician's Profile

Full Name	Mitchell Williams Larsen
Gender	Male
Speciality	Hand Surgery
Experience	25 Years
Location	1055 N 500 W, Provo, 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:

Mitchell Williams Larsen attended and graduated from Georgetown University School Of Medicine in 1999

NPI Data:

NPI Number: 1205928546
Provider Enumeration Date: 09/28/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4082654561
Enrollment ID: I20050504000167

Medical Identifiers

Medical identifiers for Mitchell Williams Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205928546	NPI	-	NPPES
09-00575	Other	UT	UTAH HEALTHCARE
107037933101	Other	UT	IHC
891680	Other	UT	DMBA
D6321	Medicaid	UT
P00244092	Other	UT	PALMETTO
243131	Other	UT	ALTIUS
82672	Other	UT	PEHP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	5777288-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Health Watch Provo, Inc	Orem, UT	Home health agency
Canyon Home Care	Salt lake city, UT	Home health agency
Mountain View Hospital	Payson, UT	Hospital
Utah Valley Hospital	Provo, UT	Hospital
Timpanogos Regional Hospital	Orem, UT	Hospital
Castleview Hospital	Price, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391

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. Mitchell Williams Larsen allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Mitchell Williams 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
Mitchell Williams Larsen, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Mitchell Williams Larsen, MD 1055 N 500 W, Suite 121, Provo, UT 84064 Ph: (801) 373-7350

Reviews and Comments

Orthopaedic Surgery Doctors in Provo, UT

Scott Delafield Evans, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Ste 207, Provo, UT 84604 Phone: 801-375-4263 Fax: 801-429-8085
Michael Callahan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-763-3885 Fax: 801-763-3887
Jeffrey M Wallentine, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401
Dr. Trevor Shelton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1200
Richard T Jackson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1055 N 500 W, Suite 121, Provo, UT 84604 Phone: 801-373-7350 Fax: 801-812-5401
Joshua Nelson Speirs, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1157 N 300 W Ste 302, Provo, UT 84604 Phone: 801-357-4470 Fax: 801-357-4473

Mitchell Williams Larsen, MD - Medicare Hand Surgery in Provo, UT