Dr Brad Walter Larsen, PSYD in Portland, OR - Medicare Psychologist Provider

Dr Brad Walter Larsen, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. His current practice location is 3050 Se Division St Ste 215, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 715-5468.

Dr Brad Walter Larsen is licensed to practice in Oregon (license number 2269) 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 1679723845.

Contact Information

	Dr Brad Walter Larsen, PSYD
	3050 Se Division St Ste 215, Portland, OR 97202-1451
	(503) 715-5468
	(503) 715-5469

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brad Walter Larsen
Gender	Male
Speciality	Psychologist
Location	3050 Se Division St Ste 215, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679723845
Provider Enumeration Date: 09/24/2008
Last Update Date: 07/12/2023

Medicare PECOS Information:

PECOS PAC ID: 0648491191
Enrollment ID: I20141024002196

Medical Identifiers

Medical identifiers for Dr Brad Walter Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679723845	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2269 (Oregon)	Secondary
103T00000X	Psychologist	2269 (Oregon)	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. Dr Brad Walter Larsen allows following entities to bill medicare on his behalf.

Entity Name	Larsen Sanchez Psychology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588041388 PECOS PAC ID: 6608138383 Enrollment ID: O20180315002490

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 Brad Walter 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
Dr Brad Walter Larsen, PSYD 3050 Se Division St Ste 215, Portland, OR 97202-1451 Ph: (503) 715-5468	Dr Brad Walter Larsen, PSYD 3050 Se Division St Ste 215, Portland, OR 97202-1451 Ph: (503) 715-5468

Reviews and Comments

Psychologist in Portland, OR

Dr. Douglas L Dunlap, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1121 Ne 2nd Ave, Portland, OR 97232 Phone: 503-731-8692
Dr. David Hugh Haven, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Ne Weidler St Ste 201, Portland, OR 97232 Phone: 503-312-0281
Dr. Susan Orchard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7415 N Oatman Ave, Portland, OR 97217 Phone: 503-358-6479
Mrs. Nellie Cichon, CADC 1 Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8202 N Denver Ave, Portland, OR 97217 Phone: 503-285-3200 Fax: 503-245-6263
Alison D. Armour, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-813-2000
Laura Isabel Miranda Olivera, MA, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Barbur Blvd Bldg 2, Portland, OR 97219 Phone: 855-295-3276 Fax: 888-588-2752
Dr. Amy W Wagner, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, OR 97239 Phone: 503-220-8262 Fax: 360-737-1419

Dr Brad Walter Larsen, PSYD - Medicare Psychologist in Portland, OR