Mr Lars Olson, is a medicare enrolled "Psychologist - Clinical" provider in Ignacio, Colorado. His current practice location is
940 County Road 336, Ignacio, Colorado. You can reach out to his office (for appointments etc.) via phone at
(000) 000-0000.
Mr Lars Olson is licensed to practice in Colorado (license number PSY.0006645) 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 1568086536.
Healthcare Provider's Profile
| Full Name | Mr Lars Olson |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 940 County Road 336, Ignacio, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568086536
- Provider Enumeration Date: 06/04/2020
- Last Update Date: 07/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284162678
- Enrollment ID: I20250113003310
Medical Identifiers
Medical identifiers for Mr Lars Olson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568086536 | NPI | - | NPPES |
| 9000257993 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | PSY.0006645 (Colorado) | Primary |
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. Mr Lars Olson allows following entities to bill medicare on his behalf.
| Entity Name | Therapy Collective, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487485843 PECOS PAC ID: 3971043464 Enrollment ID: O20240911001735 |
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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. Mr Lars Olson 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 |
Mr Lars Olson, 940 County Road 336, Ignacio, CO 81137-9606 Ph: () - | Mr Lars Olson, 940 County Road 336, Ignacio, CO 81137-9606 Ph: (000) 000-0000 |
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