Dr Larry G Payne, DDS is a medicare enrolled "Dentist - General Practice" provider in Waterloo, Indiana. His current practice location is
605 S Wayne St, Waterloo, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 837-2138.
Dr Larry G Payne is licensed to practice in Indiana (license number 12008602B) 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 1487703286.
Healthcare Provider's Profile
Full Name | Dr Larry G Payne |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 605 S Wayne St, Waterloo, Indiana |
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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: 1487703286
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 04/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 8729387444
- Enrollment ID: I20160502002240
Medical Identifiers
Medical identifiers for Dr Larry G Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487703286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12008602B (Indiana) | 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. Dr Larry G Payne 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 |
Dr Larry G Payne, DDS 605 S Wayne St, Waterloo, IN 46793-9472 Ph: (260) 837-2138 | Dr Larry G Payne, DDS 605 S Wayne St, Waterloo, IN 46793-9472 Ph: (260) 837-2138 |
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