Nicole Ming Ming Loo, MD is a medicare enrolled "Transplant Surgery" physician in Jacksonville, Florida. She went to University Of Alabama School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mayo Clinic - Florida and her current practice location is
4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 953-2000.
Nicole Ming Ming Loo is licensed to practice in Florida (license number ME150435) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508096025.
Physician's Profile
| Full Name | Nicole Ming Ming Loo |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 15 Years |
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| Location | 4500 San Pablo Rd S, Jacksonville, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Ming Ming Loo attended and graduated from University Of Alabama School Of Medicine in 2009
NPI Data:
- NPI Number: 1508096025
- Provider Enumeration Date: 07/17/2009
- Last Update Date: 05/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608060157
- Enrollment ID: I20210517000715
Medical Identifiers
Medical identifiers for Nicole Ming Ming Loo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508096025 | NPI | - | NPPES |
| 364366001 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | Q9419 (Texas) | Secondary |
| 207RI0008X | Internal Medicine - Hepatology | Q9419 (Texas) | Secondary |
| 204F00000X | Transplant Surgery | ME150435 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mayo Clinic - Florida | 5698689297 | 1328 |
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. Nicole Ming Ming Loo allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Jacksonville |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388 |
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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. Nicole Ming Ming Loo 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 |
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Nicole Ming Ming Loo, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
Ph: (904) 953-2000 | Nicole Ming Ming Loo, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
Ph: (904) 953-2000 |
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