Dr Thomas G Mc Loughlin Jr, MD - Medicare Pediatrics in New Smyrna Beach, FL

Dr Thomas G Mc Loughlin Jr, MD is a medicare enrolled "Pediatrics" physician in New Smyrna Beach, Florida. His current practice location is 1115 S Dixie Fwy, New Smyrna Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 463-5323.

Dr Thomas G Mc Loughlin Jr is licensed to practice in Florida (license number ME79808) 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 1144266099.

Contact Information

Dr Thomas G Mc Loughlin Jr, MD
1115 S Dixie Fwy,
New Smyrna Beach, FL 32168-7473
(386) 463-5323
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas G Mc Loughlin Jr
GenderMale
SpecialityPediatrics
Location1115 S Dixie Fwy, New Smyrna Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144266099
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012927155
  • Enrollment ID: I20060503000450

Medical Identifiers

Medical identifiers for Dr Thomas G Mc Loughlin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144266099NPI-NPPES
258515400MedicaidFL
49725OtherFLBLUE SHIELD OF FL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine ME79808 (Florida)Secondary
208000000XPediatrics ME79808 (Florida)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 Thomas G Mc Loughlin Jr allows following entities to bill medicare on his behalf.
Entity NameHalifax Healthcare Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283530
PECOS PAC ID: 1254238090
Enrollment ID: O20031218000443

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 Thomas G Mc Loughlin Jr 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 Thomas G Mc Loughlin Jr, MD
4516 Katy Dr,
New Smyrna Beach, FL 32169-4112

Ph: (386) 679-4458
Dr Thomas G Mc Loughlin Jr, MD
1115 S Dixie Fwy,
New Smyrna Beach, FL 32168-7473

Ph: (386) 463-5323

Reviews and Comments


Pediatrics Doctors in New Smyrna Beach, FL

Dr. Roxanne L Edwards, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Glencoe Rd, New Smyrna Beach, FL 32168
Phone: 285-424-9740    
Dr. Robert Carithers, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 605 S Orange St, New Smyrna Beach, FL 32168
Phone: 386-427-4882    Fax: 386-426-1260
Kwang Joon Choi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 245 N Causeway, New Smyrna Beach, FL 32169
Phone: 386-426-5800    Fax: 386-426-1416
Cristina Garcia,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 317 S Dixie Fwy, New Smyrna Beach, FL 32168
Phone: 386-424-1414    Fax: 386-424-9130
Dr. Priscilla Luong, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 161 N Causeway, New Smyrna Beach, FL 32169
Phone: 386-424-1584    Fax: 386-410-4800
Dr. Christine Lundberg Williams, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300 2nd Street, New Smyrna Beach, FL 32168
Phone: 914-582-6639    

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.