Gerard J O'loughlin, DO - Medicare Family Medicine in Buckhannon, WV

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Gerard J O'loughlin, DO is a medicare enrolled "Family Medicine" physician in Buckhannon, West Virginia. His current practice location is 1 Amalia Dr, Buckhannon, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 473-2000.

Gerard J O'loughlin is licensed to practice in West Virginia (license number 1215) 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 1538180799.

Contact Information

Gerard J O'loughlin, DO
1 Amalia Dr,
Buckhannon, WV 26201-2239
(304) 473-2000
(304) 473-2180

Map and Direction




Physician's Profile

Full NameGerard J O'loughlin
GenderMale
SpecialityFamily Medicine
Location1 Amalia Dr, Buckhannon, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538180799
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8628075595
  • Enrollment ID: I20061107000364

Medical Identifiers

Medical identifiers for Gerard J O'loughlin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538180799NPI-NPPES
0052965000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1215 (West Virginia)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. Gerard J O'loughlin allows following entities to bill medicare on his behalf.
Entity NameSt Joseph's Hospital Of Buckhannon Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124005061
PECOS PAC ID: 6709828163
Enrollment ID: O20050525000839

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. Gerard J O'loughlin 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
Gerard J O'loughlin, DO
1 Amalia Dr,
Buckhannon, WV 26201-2239

Ph: (304) 473-2000		Gerard J O'loughlin, DO
1 Amalia Dr,
Buckhannon, WV 26201-2239

Ph: (304) 473-2000

Reviews and Comments


Family Medicine Doctors in Buckhannon, WV

Dr. Gregory Michael Peters, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11 N Locust St, Buckhannon, WV 26201
Phone: 304-473-1440    
Dr. Johnny Dwayne Smith, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11 N Locust St, Buckhannon, WV 26201
Phone: 304-472-1600    Fax: 304-472-6055
Dr. Ira Franklin Hartman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11 N Locust St, Buckhannon, WV 26201
Phone: 304-472-1600    Fax: 304-472-6382
Dr. Danielle Christian Ware, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Amalia Dr, Buckhannon, WV 26201
Phone: 304-473-2202    
Martin John Oates, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Amalia Dr, Buckhannon, WV 26201
Phone: 304-473-2000    Fax: 304-473-2057
John A. Mathias, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Amalia Dr, Buckhannon, WV 26201
Phone: 304-473-2000    Fax: 304-473-2180

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.