Dr Kenneth L Larson, PHD in Roseville, CA - Medicare Psychologist Provider

Dr Kenneth L Larson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Roseville, California. His current practice location is 1891 E Roseville Pkwy Ste 100, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 789-7082.

Dr Kenneth L Larson is licensed to practice in California (license number PSY16221) 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 1891806675.

Contact Information

	Dr Kenneth L Larson, PHD
	1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974
	(916) 789-7082
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth L Larson
Gender	Male
Speciality	Psychologist - Clinical
Location	1891 E Roseville Pkwy Ste 100, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891806675
Provider Enumeration Date: 08/31/2006
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7214365535
Enrollment ID: I20200320001294

Medical Identifiers

Medical identifiers for Dr Kenneth L Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891806675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY61229677 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	PSY16221 (California)	Primary

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 Kenneth L 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 Kenneth L Larson, PHD 4580 Klahanie Dr Se, Pmb 445, Sammamish, WA 98029-5812 Ph: (425) 278-9351	Dr Kenneth L Larson, PHD 1891 E Roseville Pkwy Ste 100, Roseville, CA 95661-7974 Ph: (916) 789-7082

Reviews and Comments

Psychologist in Roseville, CA

Dr. Kenneth Alan Logan, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661 Phone: 916-789-7082 Fax: 916-797-8840
Dr. David Zuccolotto, PSYCHOLOGIST Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2110 Professional Dr, Suite 120, Roseville, CA 95661 Phone: 916-536-2500
Olivia Rold, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2330 Professional Dr Ste 100, Roseville, CA 95661 Phone: 279-201-9612
Dr. Michael A. Molyn, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Valley Psychological Center, 1891 E. Roseville Parkway, Suite 100, Roseville, CA 95661 Phone: 916-870-4484
Miss Michelle Marie Cox, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2412 Professional Dr, Roseville, CA 95661 Phone: 858-361-1372
Dr. Heather Jane Forde, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Reserve Dr Ste 205, Roseville, CA 95678 Phone: 916-780-1070
Diane J Huisinga, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 729 Sunrise Ave Ste 101, Roseville, CA 95661 Phone: 916-771-7852 Fax: 530-622-2793

Dr Kenneth L Larson, PHD - Medicare Psychologist in Roseville, CA