Mary Van Kooten, MD - Medicare Family Practice in Bloomington, IN

Mary Van Kooten, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Indiana. She went to Indiana University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is 550 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 355-6900.

Mary Van Kooten is licensed to practice in Indiana (license number 01057928A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619972601.

Contact Information

Mary Van Kooten, MD
550 S Landmark Ave,
Bloomington, IN 47403-3239
(812) 355-6900
(812) 333-5978

Map and Direction




Physician's Profile

Full NameMary Van Kooten
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location550 S Landmark Ave, Bloomington, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Van Kooten attended and graduated from Indiana University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1619972601
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 09/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527009190
  • Enrollment ID: I20050513000689

Medical Identifiers

Medical identifiers for Mary Van Kooten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619972601NPI-NPPES
090540396OtherINMEDICARE PTAN
Q00228730OtherINRAILROAD PTAN
200452880MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 01057928A (Indiana)Secondary
207Q00000XFamily Medicine 01057928A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Bloomington HospitalBloomington, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Southern Indiana Physicians Llc6204748197449

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. Mary Van Kooten allows following entities to bill medicare on her behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556

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. Mary Van Kooten 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
Mary Van Kooten, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -
Mary Van Kooten, MD
550 S Landmark Ave,
Bloomington, IN 47403-3239

Ph: (812) 355-6900

Reviews and Comments


Family Medicine Doctors in Bloomington, IN

Mahesh Kumar Sreedasyam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 995 S Clarizz Blvd, Bloomington, IN 47401
Phone: 812-353-3060    Fax: 812-353-3070
Thomas W. Sharp, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 421 S Landmark Ave, Bloomington, IN 47403
Phone: 812-333-3300    Fax: 812-331-3311
Dr. Howis Yvette Aros, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 W 2nd St, Bloomington, IN 47403
Phone: 812-353-9515    
Winford Robert Erwin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 N Curry Pike, Bloomington, IN 47404
Phone: 812-339-9980    Fax: 812-349-4007
Diana Ebling, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Jordan Ave, Bloomington, IN 47405
Phone: 812-855-4055    Fax: 812-855-4628
Heather A Dickerson, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5921 W State Road 46, Bloomington, IN 47404
Phone: 812-835-8866    
Cathy Ann Snyder, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Jordan Ave, Bloomington, IN 47405
Phone: 812-855-0619    

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.