LARRE DEAN EGBERT M. D. NPI 1366436768

Emergency Medicine in Payson, UT

NPI 1366436768 Individual Male Emergency Medicine PECOS Enrolled

About LARRE EGBERT

Larre Egbert is a provider established in Payson, Utah and his medical specialization is emergency medicine. The NPI number of Larre Egbert is 1366436768 and was assigned on August 2005. The practitioner's primary taxonomy code is 207P00000X with license number 178379-1205 (UT). The provider is registered as an individual and his NPI record was last updated 8 years ago.

Larre Egbert is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Larre Egbert is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1366436768

Provider Name LARRE DEAN EGBERT M. D.
Provider Location Address1000 E 100 N PAYSON, UT 84651
Provider Mailing AddressPO BOX 1098 SALEM, UT 84653
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-31-2005
Last Update Date10-07-2013


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.178379-1205
License StateUT
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

LARRE DEAN EGBERT M. D.
1000 E 100 N
PAYSON, UT
ZIP 84651
Phone: (801) 465-7190

Get Directions


Mailing Address

LARRE DEAN EGBERT M. D.
PO BOX 1098
SALEM, UT
ZIP 84653
Phone: (801) 423-3306
Fax: (801) 423-3309



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
005730609MEDICARE ID-TYPE UNSPECIFIED (04)UT
09220MEDICAID (05)UT
E05199MEDICARE UPIN (02)UT

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902890379DR. MARK N BAIR M.D.
Individual
Emergency Medicine (Emergency Medical Services)1000 E 100 N
PAYSON, UT 84651
(801) 465-7190
1295789279MOUNTAIN VIEW HOSPITAL, INC.
Organization
Skilled Nursing Facility1000 E 100 N
PAYSON, UT 84651
(801) 465-7222
1649292897 SHAUN EVANS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1427161363DR. KARL K VIZMEG M.D.
Individual
Personal Emergency Response Attendant1000 E 100 N
PAYSON, UT 84651
(801) 465-7190
1891806162 CLISTO D BEATY MD
Individual
Anesthesiology1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1457455925 JARED K ROBINSON CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1497859037 EVAN B THEOBALD CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1760586234 RUSSELL G WORTHEN CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1730283268 JACKSON R FITZGERALD MD
Individual
Anesthesiology1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1750486254 JANIE S CHRISTENSEN CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(801) 174-8486
1578668083 KENNETH A MONEY CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1386749810 KURT L CHRISTENSEN CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1720183221 TONY GIANOULIS MD
Individual
Anesthesiology1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1972608495 WAYNE REX RIDING CRNA
Individual
Nurse Anesthetist, Certified Registered1000 E 100 N
PAYSON, UT 84651
(800) 748-4868
1003030602MOUNTAIN VIEW HOSPITAL PHARMACY
Organization
Pharmacy1000 E 100 N
PAYSON, UT 84651
(801) 465-7097
1962628081MR. JOHN A LINFORD SLP
Individual
Speech-Language Pathologist1000 E 100 N
PAYSON, UT 84651
(801) 465-7070
1265715643MRS. CALLENE BOBO FNP
Individual
Nurse Practitioner (Family)1000 E 100 N
PAYSON, UT 84651
(801) 465-7745
1841568052MVH PROFESSIONAL SERVICES LLC
Organization
Registered Nurse (Diabetes Educator)1000 E 100 N
PAYSON, UT 84651
(801) 465-7045
1609211333MOUNTAIN VIEW HOSPITAL, INC.
Organization
Psychiatric Unit1000 E 100 N
PAYSON, UT 84651
(801) 465-7100
1487644282 BRENT ELWOOD JONES MD
Individual
Emergency Medicine1000 E 100 N
PAYSON, UT 84651
(801) 465-7190

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.