Lawrence Splitter, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Bloomington, Illinois. His current practice location is
3024 E Empire St Ste 3a, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 556-7775.
Lawrence Splitter is licensed to practice in Illinois (license number 036106936) 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 1508881491.
Physician's Profile
Full Name | Lawrence Splitter |
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Gender | Male |
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Speciality | Preventive Medicine - Occupational Medicine |
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Location | 3024 E Empire St Ste 3a, Bloomington, 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: 1508881491
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 08/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214094861
- Enrollment ID: I20200114000816
Medical Identifiers
Medical identifiers for Lawrence Splitter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508881491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 4185 (Montana) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 036106936 (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. Lawrence Splitter allows following entities to bill medicare on his behalf.
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Lawrence Splitter 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 |
Lawrence Splitter, DO 611 W Park St, Fapc, Urbana, IL 61801 Ph: (406) 237-4114 | Lawrence Splitter, DO 3024 E Empire St Ste 3a, Bloomington, IL 61704-5402 Ph: (309) 556-7775 |
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