Brian Therald Larsen, PT in Logan, UT - Medicare Physical Therapist Provider

Brian Therald Larsen, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Logan, Utah. His current practice location is 1300 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-2880.

Brian Therald Larsen is licensed to practice in Utah (license number 352702-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205993961.

Contact Information

	Brian Therald Larsen, PT
	1300 N 500 E, Logan, UT 84341-2408
	(435) 716-2880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Therald Larsen
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	1300 N 500 E, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205993961
Provider Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022465426
Enrollment ID: I20231107001230

Medical Identifiers

Medical identifiers for Brian Therald Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205993961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	352702-2401 (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. Brian Therald Larsen allows following entities to bill medicare on his behalf.

Provider Name	Ihc Health Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Brian Therald 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
Brian Therald Larsen, PT 1300 N 500 E, Logan, UT 84341-2408 Ph: (435) 716-2880	Brian Therald Larsen, PT 1300 N 500 E, Logan, UT 84341-2408 Ph: (435) 716-2880

Reviews and Comments

Physical Therapist in Logan, UT

Shaun P Dahle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Brandon David Greenwood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Madison Spainhower, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 W 300 N, Logan, UT 84321 Phone: 435-716-8535
Kyle Cameron Johnson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2310 N 400 E Ste B, Logan, UT 84341 Phone: 435-774-8557
Sarah C Sievers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-755-3360
Brent Rawlings, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 630 E 1400 N Ste 140, Logan, UT 84341 Phone: 435-213-3850 Fax: 435-213-9576
Thomas L Rees, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2380 N 400 E, Logan, UT 84341 Phone: 435-713-9700 Fax: 435-753-8005

Brian Therald Larsen, PT - Medicare Physical Therapist in Logan, UT