| Steven Allen Larsen, MD | |
|
777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 | |
| (208) 239-1000 | |
| Not Available |
| Full Name | Steven Allen Larsen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 777 Hospital Way, Pocatello, Idaho |
| 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 |
|---|---|---|---|
| 1508953555 | NPI | - | NPPES |
| 005925 | Medicaid | OR | |
| 807481100 | Medicaid | ID | |
| 9000153682 | Medicaid | CO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Portneuf Medical Center | Pocatello, ID | Hospital |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Star Valley Medical Center | Afton, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inspire Radiology Group Llc | 2365975216 | 15 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 40 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 38 |
| Gonzales Healthcare Systems | 8527963776 | 38 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 62 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 40 |
| Delta County Memorial Hospital | 1850200601 | 104 |
| Baker Community Health Center Inc | 3779689807 | 27 |
| Baker Community Health Center Inc | 3779689807 | 27 |
| Bay Area Hospital District | 2163331000 | 130 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 40 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 38 |
| Dawson County Hospital District | 6800832155 | 24 |
| Memorial Hospital Of Carbon County | 9638067176 | 36 |
| Inspire Radiology Group 2 Llc | 1355870460 | 22 |
| Castro County Hospital District | 3870404064 | 30 |
| Kane County Human Resource Special Service District | 5092603316 | 37 |
| Teton Radiology Madison Llc | 6901958024 | 38 |
| Cache Valley Vein | 5294069563 | 36 |
| Inspire Radiology Group 2 Llc | 1355870460 | 22 |
| Teton Radiology Diagnostic A Series Of Teton Group Enterprise | 1254436959 | 40 |
| Cache Valley Vein | 5294069563 | 36 |
| Teton Radiology Madison Llc | 6901958024 | 38 |
| Lower Umpqua Hospital District | 6800703562 | 45 |
| Fisher County Hospital District | 2163311465 | 26 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 62 |
| Medlink Management Services Inc | 2466360797 | 24 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 62 |
| Entity Name | Medical Imaging Associates Of Idaho Falls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740225531 PECOS PAC ID: 7618876590 Enrollment ID: O20040108000883 |
| Entity Name | Teton Radiology Diagnostic A Series Of Teton Group Enterprise |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013085604 PECOS PAC ID: 1254436959 Enrollment ID: O20070424000540 |
| Entity Name | Teton Radiology Madison Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407081060 PECOS PAC ID: 6901958024 Enrollment ID: O20090720000575 |
| Entity Name | Teton Vascular Institute Of Pocatello A Series Of Teton Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508224379 PECOS PAC ID: 8921306846 Enrollment ID: O20160409000003 |
| Entity Name | Oroville Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710372909 PECOS PAC ID: 1254234339 Enrollment ID: O20160411000609 |
| Entity Name | Radiology Consultants Of Lynchburg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037043 PECOS PAC ID: 8022077205 Enrollment ID: O20190711002814 |
| Entity Name | Columbus Radiology Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467964718 PECOS PAC ID: 3971863416 Enrollment ID: O20190819001670 |
| Entity Name | Cumberland Imaging Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437279262 PECOS PAC ID: 4284735051 Enrollment ID: O20200115000805 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20200319002100 |
| Entity Name | Tennessee Valley Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356367551 PECOS PAC ID: 9133105521 Enrollment ID: O20200414000153 |
| Entity Name | Cache Valley Vein |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831662311 PECOS PAC ID: 5294069563 Enrollment ID: O20231106001459 |
| Entity Name | Cmsc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639109978 PECOS PAC ID: 5890602494 Enrollment ID: O20240228003518 |
| Entity Name | Teton Radiology Caldwell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336920420 PECOS PAC ID: 2365892742 Enrollment ID: O20240320000965 |
| Entity Name | Greator Missouri Imaging Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851144539 PECOS PAC ID: 0244777316 Enrollment ID: O20240910003127 |
| Entity Name | Baker Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20240913000213 |
| Entity Name | Inspire Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487485181 PECOS PAC ID: 2365975216 Enrollment ID: O20241030003584 |
| Entity Name | Inspire Radiology Group 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396570644 PECOS PAC ID: 1355870460 Enrollment ID: O20250131003162 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Allen Larsen, MD 2265 E Sunnyside Rd Bldg B, Idaho Falls, ID 83404-7598 Ph: (208) 542-5000 | Steven Allen Larsen, MD 777 Hospital Way, Bldg B, Pocatello, ID 83201-5175 Ph: (208) 239-1000 |
Ailee Marie Justo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Michael Sparks, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4276 | |
Dr. Allen A. Eng, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-233-1187 Fax: 208-233-1187 | |
Dr. Lorin C Bachman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. John H Whiting Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way, Suite 701, Pocatello, ID 83201 Phone: 208-233-7931 Fax: 208-233-0423 | |
Dr. Michael T. Callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S 11th Ave, Suite 101, Pocatello, ID 83201 Phone: 208-239-1750 Fax: 208-239-1771 | |
Mr. Nicholas S Pierson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 |