Dr Michael Andrew Larsen, DDS - Medicare Dentist in Burley, ID

Dr Michael Andrew Larsen, DDS is a medicare enrolled "Dentist - General Practice" provider in Burley, Idaho. His current practice location is 1361 E 16th St, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 677-5198.

Dr Michael Andrew Larsen is licensed to practice in Idaho (license number D-3993) 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 1376570242.

Contact Information

Dr Michael Andrew Larsen, DDS
1361 E 16th St,
Burley, ID 83318-2008
(208) 677-5198
(208) 678-2245



Healthcare Provider's Profile

Full NameDr Michael Andrew Larsen
GenderMale
SpecialityDentist - General Practice
Location1361 E 16th St, Burley, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376570242
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 11/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2163734971
  • Enrollment ID: I20150708001664

Medical Identifiers

Medical identifiers for Dr Michael Andrew Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376570242NPI-NPPES
5050232MedicaidWA
807518200MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DE10258 (Washington)Secondary
1223G0001XDentist - General Practice D-3993 (Idaho)Primary

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 Michael Andrew 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
Dr Michael Andrew Larsen, DDS
794 Eastland Dr,
Twin Falls, ID 83301-6856

Ph: (208) 734-3312
Dr Michael Andrew Larsen, DDS
1361 E 16th St,
Burley, ID 83318-2008

Ph: (208) 677-5198

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› Verified 7 days ago


Dentist in Burley, ID

Dr. Michael Bryson Stucki, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1706 Overland Ave, Burley, ID 83318
Phone: 208-678-2332    
Dr. Kevin D. Banner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1010 E Main St, Burley, ID 83318
Phone: 208-678-5597    Fax: 208-678-5663
Randal Todd Wilson, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1309 Bennett Ave, Burley, ID 83318
Phone: 208-677-5198    
Dr. Steve Paul Garn, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Park Ave, Suite 2, Burley, ID 83318
Phone: 208-678-8188    Fax: 208-678-3170
Wayne Jack Wright, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Park Ave, Burley, ID 83318
Phone: 208-678-1478    
Logan Kay, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1309 Bennett Ave, Burley, ID 83318
Phone: 208-732-7447    
Dr. Justin Ward, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2271 Overland Ave, Suite 4, Burley, ID 83318
Phone: 208-678-3265    

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