Dr Gregory D Loose, OD is a medicare enrolled "Optometrist" provider in Wiggins, Mississippi. He went to Southern College Of Optometry and graduated in 2006 and has 18 years of diverse experience with area of expertise as Optometry. He is a member of the group practice The Vision Center Pa and his current practice location is
1113 Central Ave E, Wiggins, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 928-3914.
Dr Gregory D Loose is licensed to practice in Mississippi (license number 758) 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 1013096825.
Healthcare Provider's Profile
Full Name | Dr Gregory D Loose |
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Gender | Male |
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Speciality | Optometry |
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Experience | 18 Years |
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Location | 1113 Central Ave E, Wiggins, Mississippi |
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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:
- Dr Gregory D Loose attended and graduated from Southern College Of Optometry in 2006
NPI Data:
- NPI Number: 1013096825
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 02/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 3173629904
- Enrollment ID: I20070510000425
Medical Identifiers
Medical identifiers for Dr Gregory D Loose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013096825 | NPI | - | NPPES |
01374059 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 758 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Vision Center Pa | 6406929744 | 3 |
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. Dr Gregory D Loose allows following entities to bill medicare on his behalf.
Provider Name | The Vision Center Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1790962637 PECOS PAC ID: 6406929744 Enrollment ID: O20080721000393 |
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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. Dr Gregory D Loose 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 |
Dr Gregory D Loose, OD 1113 Central Ave E, Wiggins, MS 39577-9605 Ph: (601) 928-3914 | Dr Gregory D Loose, OD 1113 Central Ave E, Wiggins, MS 39577-9605 Ph: (601) 928-3914 |
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