Mr Larry D Bartholomew, PA-C is a
Physician Assistant based in Pine Grove, Pennsylvania. Mr Larry D Bartholomew is licensed to practice in Pennsylvania (license number MA000051L) and his current practice location is
30 Tyler Dr, Pine Grove, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 345-3254.
NPI number for Mr Larry D Bartholomew is 1942353289 and his current mailing address is 30 Tyler Dr, Pine Grove, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942353289.
Provider's Profile
Full Name | Mr Larry D Bartholomew |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 30 Tyler Dr, Pine Grove, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942353289
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Larry D Bartholomew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942353289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA000051L (Pennsylvania) | Primary |
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 Larry D Bartholomew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Larry D Bartholomew, PA-C 30 Tyler Dr, Pine Grove, PA 17963-8050 Ph: (717) 861-9175 | Mr Larry D Bartholomew, PA-C 30 Tyler Dr, Pine Grove, PA 17963-8050 Ph: (570) 345-3254 |
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