Mr Larry Wayne Vandermolen, PA-C - Medicare Physician Assistant in Bloomington, IN

Mr Larry Wayne Vandermolen, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, Indiana. His current practice location is 2626 E Covenanter Ct, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 345-5556.

Mr Larry Wayne Vandermolen is licensed to practice in Indiana (license number 99042551A) 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 1942520507.

Contact Information

Mr Larry Wayne Vandermolen, PA-C
2626 E Covenanter Ct,
Bloomington, IN 47401-5408
(812) 345-5556
Not Available



Provider's Profile

Full NameMr Larry Wayne Vandermolen
GenderMale
SpecialityPhysician Assistant
Location2626 E Covenanter Ct, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942520507
  • Provider Enumeration Date: 06/07/2010
  • Last Update Date: 07/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2860672896
  • Enrollment ID: I20110209000155

Medical Identifiers

Medical identifiers for Mr Larry Wayne Vandermolen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942520507NPI-NPPES
10001177AOtherINLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 99042551A (Indiana)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. Mr Larry Wayne Vandermolen 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
Mr Larry Wayne Vandermolen, PA-C
2626 E Covenanter Ct,
Bloomington, IN 47401-5408

Ph: () -
Mr Larry Wayne Vandermolen, PA-C
2626 E Covenanter Ct,
Bloomington, IN 47401-5408

Ph: (812) 345-5556

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Physician Assistant Nurses in Bloomington, IN

Mr. Steven Meeks, PA-C
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Medicare: Medicare Enrolled
Practice Location: 415 S Landmark Ave, Bloomington, IN 47403
Phone: 812-558-0612    Fax: 812-333-7435
William L Latimer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401
Phone: 812-355-2300    
Mr. Scott John Hopkins, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401
Phone: 812-355-2300    Fax: 812-355-2317
Miss Cheyenne Olivia Powers, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 813 W 2nd St, Bloomington, IN 47403
Phone: 812-330-0303    
Riddhi Gandhi, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 601 W 2nd St, Bloomington, IN 47403
Phone: 812-353-9515    
Mr. Steven Eugene Jacobs, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Jordan Ave, Bloomington, IN 47405
Phone: 812-855-1272    
Stephanie M West,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403
Phone: 812-676-4300    Fax: 812-339-8399

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