Deloyn L Mcdonough, PA-C is a medicare enrolled "Physician Assistant" in Charleston, Tennessee. His current practice location is
9026 Hiwassee Street Ne, Charleston, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 665-3666.
Deloyn L Mcdonough is licensed to practice in Tennessee (license number 0121) 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 1487662672.
Provider's Profile
| Full Name | Deloyn L Mcdonough |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 9026 Hiwassee Street Ne, Charleston, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487662672
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850399833
- Enrollment ID: I20061130000070
Medical Identifiers
Medical identifiers for Deloyn L Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487662672 | NPI | - | NPPES |
| 1512988 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0121 (Tennessee) | 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. Deloyn L Mcdonough 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 |
|---|
Deloyn L Mcdonough, PA-C
Po Box 15,
Charleston, TN 37310
Ph: (423) 665-3666 | Deloyn L Mcdonough, PA-C
9026 Hiwassee Street Ne,
Charleston, TN 37310
Ph: (423) 665-3666 |
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