Raven Lionel Deloatch, MD is a medicare enrolled "Internal Medicine" physician in Jackson, North Carolina. His current practice location is
9425 Nc Highway 305, Jackson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 534-1661.
Raven Lionel Deloatch is licensed to practice in North Carolina (license number 31478) 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 1740268598.
Physician's Profile
| Full Name | Raven Lionel Deloatch |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 9425 Nc Highway 305, Jackson, North Carolina |
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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. |
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Medical Education and Training:
- Raven Lionel Deloatch attended and graduated from in
NPI Data:
- NPI Number: 1740268598
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Raven Lionel Deloatch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740268598 | NPI | - | NPPES |
| 28324 | Other | NC | BLUE CROSS BLUE SHIELD # |
| 110147756 | Other | NC | RAILROAD MEDICARE # |
| 0454365 | Other | NC | UNITED HEALTH CARE # |
| D2792 | Other | NC | MEDCOST LLC PROVIDER # |
| 31478 | Other | NC | NC MEDICAL LICENSE # |
| 7928324 | Medicaid | NC | |
| 112536 | Other | NC | ANTHEM SERVICES PROVIDER# |
| 289354 | Other | NC | MAMSI PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 31478 (North Carolina) | 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. Raven Lionel Deloatch 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 |
|---|
Raven Lionel Deloatch, MD
Po Box 640,
Roanoke Rapids, NC 27870-0640
Ph: (252) 536-5791 | Raven Lionel Deloatch, MD
9425 Nc Highway 305,
Jackson, NC 27845-9679
Ph: (252) 534-1661 |
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