Loy C Puckett, MD is a
Emergency Medicine physician based in Moberly, Missouri. Loy C Puckett is licensed to practice in Missouri (license number 101050) and his current practice location is 1515 Union Ave, Moberly, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 269-3157.
NPI number for Loy C Puckett is 1831274141 and his current mailing address is 4108 Fall Ridge Dr, Columbia, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831274141.
Physician's Profile
| Full Name | Loy C Puckett |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1515 Union Ave, Moberly, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831274141
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 08/11/2008
Medical Identifiers
Medical identifiers for Loy C Puckett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831274141 | NPI | - | NPPES |
| 101050 | Other | MO | LICENSE |
| 116134 | Other | | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 101050 (Missouri) | Primary |
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. Loy C Puckett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Loy C Puckett, MD
4108 Fall Ridge Dr,
Columbia, MO 65203-6629
Ph: (573) 445-3926 | Loy C Puckett, MD
1515 Union Ave,
Moberly, MO 65270-9407
Ph: (660) 269-3157 |
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