Larry P Mudd, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jeffersonvlle, Indiana. He went to University Of Louisville School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lake Substance Abuse Solutions Llc, Lake Substance Abuse Solutions Llc and his current practice location is
510 Spring St, Jeffersonvlle, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 282-1888.
Larry P Mudd is licensed to practice in Indiana (license number 34003409A) 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 1245237122.
Healthcare Provider's Profile
Full Name | Larry P Mudd |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 41 Years |
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Location | 510 Spring St, Jeffersonvlle, Indiana |
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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. |
Medical Education and Training:
- Larry P Mudd attended and graduated from University Of Louisville School Of Medicine in 1983
NPI Data:
- NPI Number: 1245237122
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 08/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 4789754888
- Enrollment ID: I20080602000312
Medical Identifiers
Medical identifiers for Larry P Mudd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245237122 | NPI | - | NPPES |
8200068800 | Medicaid | KY | |
800012255 | Other | IN | MEDICARE RAILROAD |
2748455000 | Other | KY | PASSPORT ADVANTAGE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 34003409A (Indiana) | Primary |
1041C0700X | Social Worker - Clinical | 0566 (Kentucky) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lake Substance Abuse Solutions Llc | 8123440401 | 10 |
Lake Substance Abuse Solutions Llc | 8123440401 | 10 |
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. Larry P Mudd allows following entities to bill medicare on his behalf.
Entity Name | Lake Substance Abuse Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124598669 PECOS PAC ID: 8123440401 Enrollment ID: O20200615000339 |
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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. Larry P Mudd 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 |
Larry P Mudd, LCSW 510 Spring St, Jeffersonvlle, IN 47130-3554 Ph: (812) 282-1888 | Larry P Mudd, LCSW 510 Spring St, Jeffersonvlle, IN 47130-3554 Ph: (812) 282-1888 |
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