Dr Stephen Larson, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Saugerties, New York. He graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Doctor On Demand Professionals P C and his current practice location is
352 Hommelville Rd, Saugerties, New York. You can reach out to his office (for appointments etc.) via phone at
(951) 285-3306.
Dr Stephen Larson is licensed to practice in New York (license number 018768-1) 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 1649230160.
Healthcare Provider's Profile
| Full Name | Dr Stephen Larson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 24 Years |
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| Location | 352 Hommelville Rd, Saugerties, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Stephen Larson graduated from medical school in 2001
NPI Data:
- NPI Number: 1649230160
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 01/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 9830239300
- Enrollment ID: I20101117000146
Medical Identifiers
Medical identifiers for Dr Stephen Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649230160 | NPI | - | NPPES |
| 433395199 | Medicaid | ME | |
| 6002550 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 018768-1 (New York) | Primary |
| 103TC0700X | Psychologist - Clinical | TP1267 (Maine) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2584 (North Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS1267 (Maine) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Doctor On Demand Professionals P C | 9436464567 | 145 |
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 Stephen Larson allows following entities to bill medicare on his behalf.
| Entity Name | Doctor On Demand Professionals P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174931448
PECOS PAC ID: 9436464567
Enrollment ID: O20231013002360 |
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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. Dr Stephen 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 Stephen Larson, PSY D
352 Hommelville Rd,
Saugerties, NY 12477-4205
Ph: (951) 285-3306 | Dr Stephen Larson, PSY D
352 Hommelville Rd,
Saugerties, NY 12477-4205
Ph: (951) 285-3306 |
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