Jomo Osborne, MD is a medicare enrolled "Emergency Medicine" physician in Berryville, Arkansas. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Hospital Berryville and his current practice location is
214 Carter St, Berryville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 423-5185.
Jomo Osborne is licensed to practice in Arkansas (license number E-12064) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881079440.
Physician's Profile
Full Name | Jomo Osborne |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 30 Years |
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Location | 214 Carter St, Berryville, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jomo Osborne graduated from medical school in 1994
NPI Data:
- NPI Number: 1881079440
- Provider Enumeration Date: 07/24/2015
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4981941085
- Enrollment ID: I20190709002661
Medical Identifiers
Medical identifiers for Jomo Osborne such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881079440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | E-12064 (Arkansas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | E-12064 (Arkansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Hospital Berryville | 9032022769 | 14 |
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. Jomo Osborne allows following entities to bill medicare on his behalf.
Entity Name | Mercy Hospital Berryville |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
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Entity Name | Ozark Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
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Entity Name | Mercy Northwest Arkansas Ambulatory Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
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Entity Name | Northwest Arkansas Hbp Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174285373 PECOS PAC ID: 6507258837 Enrollment ID: O20220119001399 |
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Entity Name | Ies Arkansas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
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Entity Name | Springdale Bentonville Hbp Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
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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. Jomo Osborne 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 |
Jomo Osborne, MD 214 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-5185 | Jomo Osborne, MD 214 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-5185 |
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