Mary Van Kooten, MD in Bloomington, IN - Medicare Family Practice

Mary Van Kooten, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Indiana. She went to Indiana University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and her current practice location is 550 S Landmark Ave, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 355-6900.

Mary Van Kooten is licensed to practice in Indiana (license number 01057928A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619972601.

Contact Information

	Mary Van Kooten, MD
	550 S Landmark Ave, Bloomington, IN 47403-3239
	(812) 355-6900
	(812) 333-5978

Map and Direction

Physician's Profile

Full Name	Mary Van Kooten
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	550 S Landmark Ave, Bloomington, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Van Kooten attended and graduated from Indiana University School Of Medicine in 2002

NPI Data:

NPI Number: 1619972601
Provider Enumeration Date: 06/16/2005
Last Update Date: 09/09/2023

Medicare PECOS Information:

PECOS PAC ID: 8527009190
Enrollment ID: I20050513000689

Medical Identifiers

Medical identifiers for Mary Van Kooten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619972601	NPI	-	NPPES
090540396	Other	IN	MEDICARE PTAN
Q00228730	Other	IN	RAILROAD PTAN
200452880	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	01057928A (Indiana)	Secondary
207Q00000X	Family Medicine	01057928A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Bloomington Hospital	Bloomington, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Southern Indiana Physicians Llc	6204748197	449

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. Mary Van Kooten allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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. Mary Van Kooten 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
Mary Van Kooten, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Mary Van Kooten, MD 550 S Landmark Ave, Bloomington, IN 47403-3239 Ph: (812) 355-6900

Reviews and Comments

Family Medicine Doctors in Bloomington, IN

Mahesh Kumar Sreedasyam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 S Clarizz Blvd, Bloomington, IN 47401 Phone: 812-353-3060 Fax: 812-353-3070
Thomas W. Sharp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 S Landmark Ave, Bloomington, IN 47403 Phone: 812-333-3300 Fax: 812-331-3311
Dr. Howis Yvette Aros, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515
Winford Robert Erwin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N Curry Pike, Bloomington, IN 47404 Phone: 812-339-9980 Fax: 812-349-4007
Diana Ebling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-4055 Fax: 812-855-4628
Heather A Dickerson, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 5921 W State Road 46, Bloomington, IN 47404 Phone: 812-835-8866
Cathy Ann Snyder, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-0619

Mary Van Kooten, MD - Medicare Family Practice in Bloomington, IN