Alexandria Larsen-hallock, DO - Medicare Family Medicine in Huntertown, IN

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Alexandria Larsen-hallock, DO is a medicare enrolled "Family Medicine" physician in Huntertown, Indiana. Her current practice location is 15333 Hunters Ridge Ln, Huntertown, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 425-4870.

Alexandria Larsen-hallock is licensed to practice in Indiana (license number 02008274A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942888441.

Contact Information

Alexandria Larsen-hallock, DO
15333 Hunters Ridge Ln,
Huntertown, IN 46748-9814
(260) 425-4870
(260) 458-8694

Map and Direction




Physician's Profile

Full NameAlexandria Larsen-hallock
GenderFemale
SpecialityFamily Medicine
Location15333 Hunters Ridge Ln, Huntertown, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942888441
  • Provider Enumeration Date: 03/29/2021
  • Last Update Date: 09/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557746328
  • Enrollment ID: I20240622000555

Medical Identifiers

Medical identifiers for Alexandria Larsen-hallock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942888441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 05688 (Kentucky)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 02008274A (Indiana)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. Alexandria Larsen-hallock allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20031105000072
Entity NameKentucky Medical Services Foundation, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326091448
PECOS PAC ID: 5698689909
Enrollment ID: O20031119000300

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. Alexandria Larsen-hallock 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
Alexandria Larsen-hallock, DO
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: () -		Alexandria Larsen-hallock, DO
15333 Hunters Ridge Ln,
Huntertown, IN 46748-9814

Ph: (260) 425-4870

Reviews and Comments


Family Medicine Doctors in Huntertown, IN

Allison Vorndran, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15333 Hunters Ridge Ln, Huntertown, IN 46748
Phone: 260-425-4870    Fax: 260-458-8694
Parth Anantbhai Patel, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15333 Hunters Ridge Ln, Huntertown, IN 46748
Phone: 260-425-4870    Fax: 260-458-5694
William Ely Brading, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 15333 Hunters Ridge Ln, Huntertown, IN 46748
Phone: 260-425-4870    Fax: 260-458-8694

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.