Mary V Larsen, EDD in Ewing, NJ - Medicare Clinical Psychologist Provider

Mary V Larsen, EDD is a medicare enrolled "Psychologist" provider in Ewing, New Jersey. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Meditelecare Of New Jersey Llc and her current practice location is 100 Charles Ewing Blvd, Ewing, New Jersey. You can reach out to her office (for appointments etc.) via phone at (860) 788-6404.

Mary V Larsen is licensed to practice in New Jersey (license number 35SI00319100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710065016.

Contact Information

	Mary V Larsen, EDD
	100 Charles Ewing Blvd, Ewing, NJ 08628-3454
	(860) 788-6404
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary V Larsen
Gender	Female
Speciality	Clinical Psychologist
Experience	37 Years
Location	100 Charles Ewing Blvd, Ewing, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary V Larsen graduated from medical school in 1987

NPI Data:

NPI Number: 1710065016
Provider Enumeration Date: 11/02/2006
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 5890035133
Enrollment ID: I20190322000903

Medical Identifiers

Medical identifiers for Mary V Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710065016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35SI00319100 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meditelecare Of New Jersey Llc	5496164360	8

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. Mary V Larsen allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

Entity Name	Medop Behavioral Health Associates Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982995569 PECOS PAC ID: 2163691353 Enrollment ID: O20110804000021

Entity Name	Meditelecare Of New Jersey Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639750797 PECOS PAC ID: 5496164360 Enrollment ID: O20210505000766

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. Mary V 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
Mary V Larsen, EDD Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404	Mary V Larsen, EDD 100 Charles Ewing Blvd, Ewing, NJ 08628-3454 Ph: (860) 788-6404

Reviews and Comments

Psychologist in Ewing, NJ

Dr. Melissa Waxman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 Bear Tavern Rd, Ewing, NJ 08628 Phone: 855-438-8331
Diana Digiacomo, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 Fax: 860-510-0020
Dr. Gary Berkowitz, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 53 Walter St, Ewing, NJ 08628 Phone: 609-440-8897
Dr. Melissa Mccausland, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 830 Bear Tavern Rd, Ewing, NJ 08628 Phone: 800-370-3651 Fax: 877-515-7147
Ms. Deborah Davila, MSED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 22 Running Brook Rd, Ewing, NJ 08638 Phone: 609-954-1266 Fax: 609-882-2835
Dr. Karen Michelle Kohaut, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Sullivan Way, Ewing, NJ 08628 Phone: 609-633-1500
Dannicious Bai Rogers, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 W Ingham Ave, Ewing, NJ 08638 Phone: 909-682-4618

Mary V Larsen, EDD - Medicare Psychologist in Ewing, NJ