Dr Jefferydon Lee Coon, D O is a medicare enrolled "Internal Medicine" physician in Pocahontas, Arkansas. He went to Lincoln Memorial University Medical Department and graduated in 2011 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dexter Hospital, Llc, Southeast Health Center Of Stoddard County Llc and his current practice location is
2801 Medical Center Dr, Pocahontas, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 892-6000.
Dr Jefferydon Lee Coon is licensed to practice in Arkansas (license number E-9674) 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 1376834101.
Physician's Profile
| Full Name | Dr Jefferydon Lee Coon |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 2801 Medical Center Dr, Pocahontas, Arkansas |
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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:
- Dr Jefferydon Lee Coon attended and graduated from Lincoln Memorial University Medical Department in 2011
NPI Data:
- NPI Number: 1376834101
- Provider Enumeration Date: 04/27/2011
- Last Update Date: 03/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 4981995370
- Enrollment ID: I20180413001527
Medical Identifiers
Medical identifiers for Dr Jefferydon Lee Coon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376834101 | NPI | - | NPPES |
| PD09494 | Other | AR | ARKANSAS PHARMACIST LICENSE |
| E-9674 | Other | AR | ARKANSAS MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | E-9674 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dexter Hospital, Llc | 6507834579 | 15 |
| Southeast Health Center Of Stoddard County Llc | 7315192515 | 40 |
| | |
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 Jefferydon Lee Coon allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Health Center Of Stoddard County Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477997567
PECOS PAC ID: 7315192515
Enrollment ID: O20130605000128 |
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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 Jefferydon Lee Coon 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 Jefferydon Lee Coon, D O
2801 Medical Center Dr,
Pocahontas, AR 72455-9436
Ph: (870) 892-6000 | Dr Jefferydon Lee Coon, D O
2801 Medical Center Dr,
Pocahontas, AR 72455-9436
Ph: (870) 892-6000 |
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