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 | 
|---|
| Gender | Male | 
|---|
| Speciality | Physician Assistant | 
|---|
| Location | 30 Tyler Dr, Pine Grove, Pennsylvania | 
|---|
| 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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