Dr Anessa Yvonna Larson, PSYD in San Rafael, CA - Medicare Clinical Psychologist Provider

Dr Anessa Yvonna Larson, PSYD is a medicare enrolled "Psychologist" provider in San Rafael, California. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 3230 Kerner Blvd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 473-7846.

Dr Anessa Yvonna Larson is licensed to practice in California (license number 20571) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730288291.

Contact Information

	Dr Anessa Yvonna Larson, PSYD
	3230 Kerner Blvd, San Rafael, CA 94901-4840
	(415) 473-7846
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Anessa Yvonna Larson
Gender	Female
Speciality	Clinical Psychologist
Experience	21 Years
Location	3230 Kerner Blvd, San Rafael, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Anessa Yvonna Larson graduated from medical school in 2003

NPI Data:

NPI Number: 1730288291
Provider Enumeration Date: 09/21/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8123281581
Enrollment ID: I20120522000989

Medical Identifiers

Medical identifiers for Dr Anessa Yvonna Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730288291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20571 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Dr Anessa Yvonna Larson allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Anessa Yvonna 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 Address	Practice Location Address
Dr Anessa Yvonna Larson, PSYD 3230 Kerner Blvd, San Rafael, CA 94901-4840 Ph: (415) 473-7846	Dr Anessa Yvonna Larson, PSYD 3230 Kerner Blvd, San Rafael, CA 94901-4840 Ph: (415) 473-7846

Reviews and Comments

Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-473-7637
Dr. Leslie Frances Chatham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019
Dr. Carol H Pollard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903 Phone: 415-499-6894
Dr. Ann Gold Buscho, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 D St, Suite 207, San Rafael, CA 94901 Phone: 415-456-0952
Dr. Boukje Elisabeth Eerkens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903 Phone: 415-272-3406 Fax: 415-300-3086
Stephanie Lopez, Psychologist Medicare: Medicare Enrolled Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903 Phone: 415-491-3127
Dr. Ali Navarro, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-444-3522 Fax: 415-444-3019

Dr Anessa Yvonna Larson, PSYD - Medicare Psychologist in San Rafael, CA