Nathanael M Larsen, PHD in Fergus Falls, MN - Medicare Clinical Psychologist Provider

Nathanael M Larsen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fergus Falls, Minnesota. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lakeland Mental Health Center Inc and his current practice location is 126 E Alcott Ave, Fergus Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 736-6987.

Nathanael M Larsen is licensed to practice in Minnesota (license number LP2878) 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 1912954728.

Contact Information

	Nathanael M Larsen, PHD
	126 E Alcott Ave, Fergus Falls, MN 56537-2903
	(218) 736-6987
	(218) 736-6980

Map and Direction

Healthcare Provider's Profile

Full Name	Nathanael M Larsen
Gender	Male
Speciality	Clinical Psychologist
Experience	20 Years
Location	126 E Alcott Ave, Fergus Falls, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathanael M Larsen graduated from medical school in 2004

NPI Data:

NPI Number: 1912954728
Provider Enumeration Date: 05/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729091640
Enrollment ID: I20060719000173

Medical Identifiers

Medical identifiers for Nathanael M Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912954728	NPI	-	NPPES
HP23070	Other	MN	HEALTHPARTNER
1010714	Other	MN	PREFERREDONE
62-20513	Other	MN	UNITED BEHAVIOR HEALTH
57399LA	Other	MN	MN BLUE CROSS BLUE SHIELD
116689	Other	MN	UCARE MINNESOTA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP2878 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Mental Health Center Inc	1759291891	31

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. Nathanael M Larsen allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366480287 PECOS PAC ID: 1759291891 Enrollment ID: O20031105000073

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. Nathanael M Larsen 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
Nathanael M Larsen, PHD 23355 Oakview Heights Dr, Fergus Falls, MN 56537-8163 Ph: () -	Nathanael M Larsen, PHD 126 E Alcott Ave, Fergus Falls, MN 56537-2903 Ph: (218) 736-6987

Reviews and Comments

Psychologist in Fergus Falls, MN

Ricardo P. Ascano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 E Alcott Ave, Fergus Falls, MN 56537 Phone: 218-736-6987 Fax: 218-736-0734
Frank Dale Campbell, EDS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 125 W Lincoln, Suite 12, Fergus Falls, MN 56537 Phone: 218-739-0683 Fax: 218-739-0683
Francis M. Jacobson, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 126 East Alcott Avenue, Lakeland Mental Health Center, Fergus Falls, MN 56537 Phone: 218-736-6987
Gwen Brutlag, M.S., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 220 W Washington Ave, Wells Fargo Bank Building, Suite 204, Fergus Falls, MN 56537 Phone: 218-739-8761 Fax: 218-739-8581
Brandon Saxton, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 125 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-998-2992 Fax: 320-323-4357
Christianne M Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126
Dr. Mark Carl Lysne, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 225 W Cavour Ave, Fergus Falls, MN 56537 Phone: 218-998-3123 Fax: 218-998-3126

Nathanael M Larsen, PHD - Medicare Psychologist in Fergus Falls, MN