Mr Kevin Duane Larry, LMSW, LCSW is a medicare enrolled "Social Worker" provider in Grand Blanc, Michigan. His current practice location is
617 Boutell Dr, Grand Blanc, Michigan. You can reach out to his office (for appointments etc.) via phone at
(404) 988-7120.
Mr Kevin Duane Larry is licensed to practice in Michigan (license number 6801061643) 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 1396932281.
Healthcare Provider's Profile
| Full Name | Mr Kevin Duane Larry |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 617 Boutell Dr, Grand Blanc, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396932281
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 05/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012807969
- Enrollment ID: I20040316001020
Medical Identifiers
Medical identifiers for Mr Kevin Duane Larry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396932281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CSW003802 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801061643 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW003802 (Georgia) | Secondary |
| 104100000X | Social Worker | 6801061643 (Michigan) | 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. Mr Kevin Duane Larry allows following entities to bill medicare on his behalf.
| Entity Name | Richard Kneip Phd Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20080731000086 |
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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. Mr Kevin Duane Larry 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 |
|---|
Mr Kevin Duane Larry, LMSW, LCSW
617 Boutell Dr,
Grand Blanc, MI 48439-1535
Ph: (404) 988-7120 | Mr Kevin Duane Larry, LMSW, LCSW
617 Boutell Dr,
Grand Blanc, MI 48439-1535
Ph: (404) 988-7120 |
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