Dr Jeffrey Ray Looney, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Mountain Home, Tennessee. His current practice location is
Corner Of Lamont And Veteran's Way, Mountain Home, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 926-1171.
Dr Jeffrey Ray Looney is licensed to practice in Tennessee (license number 29974) 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 1316942584.
Physician's Profile
| Full Name | Dr Jeffrey Ray Looney |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | Corner Of Lamont And Veteran's Way, Mountain Home, Tennessee |
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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: 1316942584
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 03/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 1355432493
- Enrollment ID: I20070803000510
Medical Identifiers
Medical identifiers for Dr Jeffrey Ray Looney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316942584 | NPI | - | NPPES |
| 1316942584 | Medicaid | VA | |
| 3821264 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 29974 (Tennessee) | 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. Dr Jeffrey Ray Looney allows following entities to bill medicare on his behalf.
| Entity Name | Medical Education Assistance Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795 |
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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. Dr Jeffrey Ray Looney 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 Jeffrey Ray Looney, MD
Po Box 4000, (112),
Mountain Home, TN 37684-4000
Ph: (423) 926-1171 | Dr Jeffrey Ray Looney, MD
Corner Of Lamont And Veteran's Way,
Mountain Home, TN 37684
Ph: (423) 926-1171 |
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