John Loren Starwalt, DO is a medicare enrolled "Emergency Medicine" physician in Dexter, Missouri. His current practice location is
1200 N One Mile Rd, Dexter, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 624-5566.
John Loren Starwalt is licensed to practice in Missouri (license number 2022032569) 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 1780146662.
Physician's Profile
Full Name | John Loren Starwalt |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1200 N One Mile Rd, Dexter, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780146662
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 08/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103201165
- Enrollment ID: I20220913000377
Medical Identifiers
Medical identifiers for John Loren Starwalt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780146662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 2022032569 (Missouri) | 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. John Loren Starwalt allows following entities to bill medicare on his behalf.
Entity Name | Southeast Missouri Hospital Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
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Entity Name | Southeast Health Center Of Stoddard County Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477997567 PECOS PAC ID: 7315192515 Enrollment ID: O20130605000128 |
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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. John Loren Starwalt 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 |
John Loren Starwalt, DO 1200 N One Mile Rd, Dexter, MO 63841-1000 Ph: (573) 624-5566 | John Loren Starwalt, DO 1200 N One Mile Rd, Dexter, MO 63841-1000 Ph: (573) 624-5566 |
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