Larry Kenneth Andreo, MD is a
Ophthalmology physician based in Fort Jackson, South Carolina. Larry Kenneth Andreo is licensed to practice in Kentucky (license number 28391) and his current practice location is 4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede, Fort Jackson, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 751-2618.
NPI number for Larry Kenneth Andreo is 1568556157 and his current mailing address is 4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede, Fort Jackson, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568556157.
Physician's Profile
| Full Name | Larry Kenneth Andreo |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 4500 Stuart Street, Fort Jackson, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568556157
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Larry Kenneth Andreo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568556157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 28391 (Kentucky) | 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. Larry Kenneth Andreo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Larry Kenneth Andreo, MD
4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede,
Fort Jackson, SC 29207-5720
Ph: (803) 751-2618 | Larry Kenneth Andreo, MD
4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede,
Fort Jackson, SC 29207-5720
Ph: (803) 751-2618 |
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