Mr Larry Dean Hawkins, PT is a medicare enrolled "Physical Therapist" provider in East Alton, Illinois. His current practice location is
935 East Airline Dr, East Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 258-9093.
Mr Larry Dean Hawkins is licensed to practice in Illinois (license number ) 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 1437115045.
Healthcare Provider's Profile
| Full Name | Mr Larry Dean Hawkins |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 935 East Airline Dr, East Alton, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437115045
- Provider Enumeration Date: 04/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466412358
- Enrollment ID: I20061211000077
Medical Identifiers
Medical identifiers for Mr Larry Dean Hawkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437115045 | NPI | - | NPPES |
| 6823160 | Other | IL | BCBS ILL |
| 342305 | Other | IL | HEALTHLINK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (Illinois) | Primary |
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. Mr Larry Dean Hawkins allows following entities to bill medicare on his behalf.
| Provider Name | Orthopedic & Sports Medicine Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982637658 PECOS PAC ID: 3779550934 Enrollment ID: O20040916000139 |
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| Provider Name | King Spinal & Sports Rehabilitation Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1427157593 PECOS PAC ID: 2466461439 Enrollment ID: O20060419000599 |
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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 Dean Hawkins 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 Larry Dean Hawkins, PT 935 East Airline Dr, East Alton, IL 62024-2031 Ph: (618) 258-9093 | Mr Larry Dean Hawkins, PT 935 East Airline Dr, East Alton, IL 62024-2031 Ph: (618) 258-9093 |
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