Jackie Larsen, - Medicare Speech-Language Pathologist in Springville, UT

Jackie Larsen, is a medicare enrolled "Speech-language Pathologist" provider in Springville, Utah. Her current practice location is 1211 S 1530 W, Springville, Utah. You can reach out to her office (for appointments etc.) via phone at (562) 841-2877.

Jackie Larsen is licensed to practice in Utah (license number 115154024102) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659050177.

Contact Information

Jackie Larsen,
1211 S 1530 W,
Springville, UT 84663-5074
(562) 841-2877
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJackie Larsen
GenderFemale
SpecialitySpeech-language Pathologist
Location1211 S 1530 W, Springville, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659050177
  • Provider Enumeration Date: 07/12/2023
  • Last Update Date: 07/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143674432
  • Enrollment ID: I20230920001464

Medical Identifiers

Medical identifiers for Jackie Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659050177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 115154024102 (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. Jackie Larsen allows following entities to bill medicare on her behalf.
Provider NameLive Well Speech Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1952080475
PECOS PAC ID: 9234583527
Enrollment ID: O20230920001321

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. Jackie 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 AddressPractice Location Address
Jackie Larsen,
1211 S 1530 W,
Springville, UT 84663-5074

Ph: (562) 841-2877
Jackie Larsen,
1211 S 1530 W,
Springville, UT 84663-5074

Ph: (562) 841-2877

Reviews and Comments


Speech-Language Pathologist in Springville, UT

Pamela Jamison, M.E/CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1072 Wildflower Way, Springville, UT 84663
Phone: 385-314-0906    
Ashley Bishop, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1829 W 1000 S, Springville, UT 84663
Phone: 208-757-0561    
Laura Brynn Lewis, M.S., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1161 E 300 N, Springville, UT 84663
Phone: 801-661-5983    
Melissa Burke Delange,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1072 Wildflower Way, Springville, UT 84663
Phone: 395-314-0906    
Live Well Speech Therapy Llc
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 1211 S 1530 W, Springville, UT 84663
Phone: 562-841-2877    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.