Molly Larson, Ph.d. - Medicare Mental Health Clinic in Indialantic, FL

Molly Larson, Ph.d. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Indialantic, Florida. The current practice location for Molly Larson, Ph.d. is 122 4th Ave, Suite 200, Indialantic, Florida. For appointments, you can reach them via phone at (321) 327-3793. The mailing address for Molly Larson, Ph.d. is 122 4th Ave, Suite 200, Indialantic, Florida and phone number is (321) 327-3793.

Molly Larson, Ph.d. is licensed to practice in Florida (license number PY9437). The clinic also participates in the medicare program and its NPI number is 1447609649. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (321) 327-3793.

Contact Information

Molly Larson, Ph.d.
122 4th Ave
Suite 200
Indialantic
FL 32903-3112
(321) 327-3793
Not Available

Mental Health Clinic Profile

Full NameMolly Larson, Ph.d.
SpecialityPsychologist
Location122 4th Ave, Indialantic, Florida
Authorized Official Name and PositionMolly Larson (CLINICAL PSYCHOLOGIST)
Authorized Official Contact3213273793
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Molly Larson, Ph.d.
122 4th Ave
Suite 200
Indialantic
FL 32903-3112

Ph: (321) 327-3793
Molly Larson, Ph.d.
122 4th Ave
Suite 200
Indialantic
FL 32903-3112

Ph: (321) 327-3793

NPI Details:

NPI Number1447609649
Provider Enumeration Date06/08/2016
Last Update Date06/08/2016

Medicare PECOS Information:

Medicare PECOS PAC ID7315234564
Medicare Enrollment IDO20161003001046

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Medical Identifiers

Medical identifiers for Molly Larson, Ph.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447609649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY9437 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Molly Larson, Ph.d. acts as a billing entity for following providers:
Provider NameMolly K Larson
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1548652795
PECOS PAC ID: 3779870936
Enrollment ID: I20200611000835

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Psychologist in Indialantic, FL

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Practice Location: 122 4th Ave Ste 200, Indialantic, FL 32903
Phone: 321-327-3793    Fax: 321-327-7914
Andrea G Dertany Psyd
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Medicare: Not Enrolled in Medicare
Practice Location: 105 S Riverside Dr Ste 130, Indialantic, FL 32903
Phone: 321-727-9031    Fax: 321-724-8011
Ocean Breeze Counseling, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 202 4th Ave, Indialantic, FL 32903
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Corinne Zimmer, Psyd Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 107 N Palm Ave, Indialantic, FL 32903
Phone: 321-426-0147    Fax: 321-327-7914
Act Life Transitions, Llc.
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Practice Location: 2965 Limpet Ct, Indialantic, FL 32903
Phone: 321-265-7557    
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