Shane R Larson, MD - Medicare Anesthesiology in Logan, UT

Shane R Larson, MD is a medicare enrolled "Anesthesiology" physician in Logan, Utah. He went to University Of Utah School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Interwest Anesthesia Associates Llc and his current practice location is 274 N Main St, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-1600.

Shane R Larson is licensed to practice in Utah (license number 342616-1205) 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 1528018496.

Contact Information

Shane R Larson, MD
274 N Main St,
Logan, UT 84321-3915
(435) 753-1600
(435) 753-9521



Physician's Profile

Full NameShane R Larson
GenderMale
SpecialityAnesthesiology
Experience34 Years
Location274 N Main St, Logan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane R Larson attended and graduated from University Of Utah School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1528018496
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8921081241
  • Enrollment ID: I20110124000952

Medical Identifiers

Medical identifiers for Shane R Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528018496NPI-NPPES
870550181001MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 342616-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Interwest Anesthesia Associates Llc004229335927

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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. Shane R Larson allows following entities to bill medicare on his behalf.
Entity NameInterwest Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841214483
PECOS PAC ID: 0042293359
Enrollment ID: O20040609000206

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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. Shane R Larson 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
Shane R Larson, MD
274 N Main St,
Logan, UT 84321-3915

Ph: (435) 753-1600
Shane R Larson, MD
274 N Main St,
Logan, UT 84321-3915

Ph: (435) 753-1600

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Anesthesiology Doctors in Logan, UT

Jon R Robison, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Peter C Daines,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Vikas Garg, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Lyman B Stevens, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Joshua Tyler Christiansen, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    
Richard B Palfreyman, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Michael L Broadbent, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521

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