| Larry D Allen, MD | |
|
1033 N Indiana Ave, Syracuse, IN 46567-1017 | |
| (574) 457-5701 | |
| (574) 457-5609 |
| Full Name | Larry D Allen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1033 N Indiana Ave, Syracuse, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942310818 | NPI | - | NPPES |
| 100428310 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01042097 (Indiana) | Primary |
| Entity Name | Goshen Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194772293 PECOS PAC ID: 4880598572 Enrollment ID: O20031124000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Allen, MD Po Box 158, Syracuse, IN 46567-0158 Ph: (574) 457-5701 | Larry D Allen, MD 1033 N Indiana Ave, Syracuse, IN 46567-1017 Ph: (574) 457-5701 |
Dr. Jack Prow Clark, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 518 Ems D15 Ln, Syracuse, IN 46567 Phone: 574-457-3292 | |
Elizabeth Voirol, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 107 W Pickwick Dr Ste A, Syracuse, IN 46567 Phone: 574-457-8585 | |
John Kent Kratzer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 W Pickwick Dr, Ste A, Syracuse, IN 46567 Phone: 574-457-8585 Fax: 574-457-8755 | |
Matthew Wells, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 | |
Karla Troyer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 N Indiana Ave, Syracuse, IN 46567 Phone: 574-457-5701 Fax: 574-457-5609 | |
Jodi S Clouse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 North Indiana Avenue, Syracuse, IN 46567 Phone: 574-457-5701 Fax: 574-457-5609 |