Dr Lawrence Thomas Mollo, MD in Champlin, MN - Medicare Pediatric Medicine

Dr Lawrence Thomas Mollo, MD is a medicare enrolled "Pediatrics" physician in Champlin, Minnesota. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Park Nicollet Clinic and his current practice location is 12142 Business Park Blvd N, Champlin, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 977-0500.

Dr Lawrence Thomas Mollo is licensed to practice in Minnesota (license number 62157) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508122334.

Contact Information

	Dr Lawrence Thomas Mollo, MD
	12142 Business Park Blvd N, Champlin, MN 55316-4525
	(952) 977-0500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lawrence Thomas Mollo
Gender	Male
Speciality	Pediatric Medicine
Experience	12 Years
Location	12142 Business Park Blvd N, Champlin, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lawrence Thomas Mollo graduated from medical school in 2012

NPI Data:

NPI Number: 1508122334
Provider Enumeration Date: 04/05/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4981905023
Enrollment ID: I20170828003311

Medical Identifiers

Medical identifiers for Dr Lawrence Thomas Mollo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508122334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	62157 (Minnesota)	Secondary
207R00000X	Internal Medicine	125061609 (Illinois)	Secondary
208000000X	Pediatrics	125061609 (Illinois)	Secondary
208000000X	Pediatrics	62157 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Dr Lawrence Thomas Mollo allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 Lawrence Thomas Mollo 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 Lawrence Thomas Mollo, MD 2160 S 1st Ave, Rm 7609, Maywood, IL 60153-3328 Ph: (708) 216-8757	Dr Lawrence Thomas Mollo, MD 12142 Business Park Blvd N, Champlin, MN 55316-4525 Ph: (952) 977-0500

Reviews and Comments

Pediatrics Doctors in Champlin, MN

Dr. Amy Sue Hentges, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600
Andrea M Spandl, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600
Kaye Ann Marie Abel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-236-0606
Sandra Joanne Schultz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 Fax: 952-977-0510
Rita Marie Cortese, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 Fax: 952-977-0501

Dr Lawrence Thomas Mollo, MD - Medicare Pediatric Medicine in Champlin, MN