Dr Shaun Dean Larsen, OD is a medicare enrolled "Optometrist" provider in Magna, Utah. He went to Southern College Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. His current practice location is
3665 S 8400 W, Suite 100, Magna, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 250-5745.
Dr Shaun Dean Larsen is licensed to practice in Utah (license number 3758049934) 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 1073540167.
Healthcare Provider's Profile
Full Name | Dr Shaun Dean Larsen |
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Gender | Male |
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Speciality | Optometry |
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Experience | 25 Years |
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Location | 3665 S 8400 W, Magna, Utah |
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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:
- Dr Shaun Dean Larsen attended and graduated from Southern College Of Optometry in 1999
NPI Data:
- NPI Number: 1073540167
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 08/24/2010
Medicare PECOS Information:
- PECOS PAC ID: 8426953639
- Enrollment ID: I20031201000806
Medical Identifiers
Medical identifiers for Dr Shaun Dean Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073540167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 3758049934 (Utah) | Primary |
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. Dr Shaun Dean Larsen allows following entities to bill medicare on his behalf.
Provider Name | Mobile Eyecare Of Utah Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1245274521 PECOS PAC ID: 8527963735 Enrollment ID: O20031201000797 |
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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. Dr Shaun Dean 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 |
Dr Shaun Dean Larsen, OD 3665 S 8400 W, Suite 100, Magna, UT 84044-2214 Ph: (801) 250-5745 | Dr Shaun Dean Larsen, OD 3665 S 8400 W, Suite 100, Magna, UT 84044-2214 Ph: (801) 250-5745 |
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