Dr Jennifer Anne Loethen, MD - Medicare Pediatrics in Maryville, IL

  1. Home
  2. Pediatrics
  3. IL
  4. Maryville
Dr Jennifer Anne Loethen, MD is a medicare enrolled "Pediatrics" physician in Maryville, Illinois. Her current practice location is 5 Professional Park Dr, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 876-2924.

Dr Jennifer Anne Loethen is licensed to practice in Illinois (license number 036121965) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205039955.

Contact Information

Dr Jennifer Anne Loethen, MD
5 Professional Park Dr,
Maryville, IL 62062-5621
(618) 876-2924
Not Available

Map and Direction




Physician's Profile

Full NameDr Jennifer Anne Loethen
GenderFemale
SpecialityPediatrics
Location5 Professional Park Dr, Maryville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205039955
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 06/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8628413309
  • Enrollment ID: I20240304003805

Medical Identifiers

Medical identifiers for Dr Jennifer Anne Loethen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205039955NPI-NPPES
036121965MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 036121965 (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. Dr Jennifer Anne Loethen allows following entities to bill medicare on her behalf.
Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073568226
PECOS PAC ID: 7012828163
Enrollment ID: O20170612002061

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 Jennifer Anne Loethen 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 AddressPractice Location Address
Dr Jennifer Anne Loethen, MD
3165 Myrtle Ave,
Granite City, IL 62040-5012

Ph: (309) 648-6024		Dr Jennifer Anne Loethen, MD
5 Professional Park Dr,
Maryville, IL 62062-5621

Ph: (618) 876-2924

Reviews and Comments


Pediatrics Doctors in Maryville, IL

Dr. Christopher Robert Wangard, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6800 State Route 162, Maryville, IL 62062
Phone: 618-288-5711    
Dr. Jennifer Dawn Krick, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6828 State Route 162, Maryville, IL 62062
Phone: 618-288-5084    Fax: 618-288-8045

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.