Larry Gentry Ii, LSW/LCSW/LCAC is a medicare enrolled "Social Worker - Clinical" provider in Indianapolis, Indiana. His current practice location is
8320 Madison Ave, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 882-5122.
Larry Gentry Ii is licensed to practice in Indiana (license number 34006901A) 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 1588089221.
Healthcare Provider's Profile
| Full Name | Larry Gentry Ii |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 8320 Madison Ave, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588089221
- Provider Enumeration Date: 03/04/2014
- Last Update Date: 03/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 4486886181
- Enrollment ID: I20220829001229
Medical Identifiers
Medical identifiers for Larry Gentry Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588089221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001394A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34006901A (Indiana) | 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. Larry Gentry Ii allows following entities to bill medicare on his behalf.
| Entity Name | Washington Hospital Center Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407870124
PECOS PAC ID: 3577476266
Enrollment ID: O20040630000173 |
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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 Gentry Ii 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 |
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Larry Gentry Ii, LSW/LCSW/LCAC
8320 Madison Ave,
Indianapolis, IN 46227-6066
Ph: (317) 882-5122 | Larry Gentry Ii, LSW/LCSW/LCAC
8320 Madison Ave,
Indianapolis, IN 46227-6066
Ph: (317) 882-5122 |
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