Mr Lawrence Mcclinton, PA is a medicare enrolled "Radiology - Vascular & Interventional Radiology" in Saint Louis, Missouri. His current practice location is
1201 S Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 257-5555.
Mr Lawrence Mcclinton is licensed to practice in Missouri (license number 110249) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1427055961.
Provider's Profile
| Full Name | Mr Lawrence Mcclinton |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Vascular & Interventional Radiology |
|---|
| Location | 1201 S Grand Blvd, Saint Louis, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427055961
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143243204
- Enrollment ID: I20101011001205
Medical Identifiers
Medical identifiers for Mr Lawrence Mcclinton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427055961 | NPI | - | NPPES |
| 085000213 | Other | IL | LICENSE |
| 110249 | Other | MO | LICENSE |
| 546190 | Other | IL | MEDICARE GROUP NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 110249 (Missouri) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 110249 (Missouri) | 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 Lawrence Mcclinton 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 Address | Practice Location Address |
Mr Lawrence Mcclinton, PA 3691 Rutger St, Saint Louis, MO 63110-2515 Ph: (314) 977-5782 | Mr Lawrence Mcclinton, PA 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-5555 |
Reviews and Comments