Lawrence Splitter, DO - Medicare Preventive Medicine in Bloomington, IL

Lawrence Splitter, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Bloomington, Illinois. His current practice location is 3024 E Empire St Ste 3a, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 556-7775.

Lawrence Splitter is licensed to practice in Illinois (license number 036106936) 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 1508881491.

Contact Information

Lawrence Splitter, DO
3024 E Empire St Ste 3a,
Bloomington, IL 61704-5402
(309) 556-7775
Not Available



Physician's Profile

Full NameLawrence Splitter
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location3024 E Empire St Ste 3a, Bloomington, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508881491
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 08/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214094861
  • Enrollment ID: I20200114000816

Medical Identifiers

Medical identifiers for Lawrence Splitter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508881491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 4185 (Montana)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 036106936 (Illinois)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. Lawrence Splitter allows following entities to bill medicare on his behalf.
Entity NameMemorial Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720087950
PECOS PAC ID: 8325951031
Enrollment ID: O20031110000214

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Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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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. Lawrence Splitter 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 AddressPractice Location Address
Lawrence Splitter, DO
611 W Park St, Fapc,
Urbana, IL 61801

Ph: (406) 237-4114
Lawrence Splitter, DO
3024 E Empire St Ste 3a,
Bloomington, IL 61704-5402

Ph: (309) 556-7775

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Preventive Medicine Doctors in Bloomington, IL

Dr. Nick A Vlachos, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 18 Smokey Ct, Bloomington, IL 61704
Phone: 309-661-1000    Fax: 309-661-1001
Leslie Mathers Iii, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3038    
Mary Yee Chow, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 1505 Eastland Dr, Suite1000, Bloomington, IL 61701
Phone: 309-661-6270    Fax: 309-862-4823

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