| Sean Larsen, | |
|
12033 Agency Rd, Parker, AZ 85344-7718 | |
| (928) 669-2137 | |
| (928) 669-3131 |
| Full Name | Sean Larsen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 12033 Agency Rd, Parker, Arizona |
| 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 |
|---|---|---|---|
| 1548647472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 6014 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 008197 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Verde Valley Medical Center | Cottonwood, AZ | Hospital |
| Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Larsen, 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Sean Larsen, 12033 Agency Rd, Parker, AZ 85344-7718 Ph: (928) 669-2137 |
Mallika Manyapu, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 | |
Dr. Paul Robert Hladon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W Mohave Rd, Emergency Department, Parker, AZ 85344 Phone: 800-444-7009 Fax: 800-305-3233 | |
Emily Veltus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 W Agency Ave, Parker, AZ 85344 Phone: 928-669-2137 | |
Kimberly A Rice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-842-7419 | |
Dr. Subba R Alapati, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 | |
Dr. Kenneth James Westrate, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 |