Mr Lawrence Mcclinton, PA is a medicare enrolled "Radiology - Vascular & Interventional Radiology" in Saint Louis, Missouri. He went to Saint Louis University School Of Medicine and graduated in 1978 and has 48 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ssm Health Care Group and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427055961.
Provider's Profile
| Full Name | Mr Lawrence Mcclinton |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 48 Years |
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| Location | 1201 S Grand Blvd, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Lawrence Mcclinton attended and graduated from Saint Louis University School Of Medicine in 1978
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ssm Health Care Group | 0143608372 | 921 |
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 |
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