Dr Thomas Jerome Devlin, MD is a medicare enrolled "Family Medicine" physician in Paw Paw, West Virginia. His current practice location is
783 Winchester Street, Paw Paw, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 947-5500.
Dr Thomas Jerome Devlin is licensed to practice in Maryland (license number D0021488) 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 1457469900.
Physician's Profile
| Full Name | Dr Thomas Jerome Devlin |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 783 Winchester Street, Paw Paw, West Virginia |
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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: 1457469900
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 06/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 0244388189
- Enrollment ID: I20170731001916
Medical Identifiers
Medical identifiers for Dr Thomas Jerome Devlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457469900 | NPI | - | NPPES |
| 186511100 | Medicaid | MD | |
| 1377292 | Other | WV | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | D0021488 (Maryland) | Primary |
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 Thomas Jerome Devlin allows following entities to bill medicare on his behalf.
| Entity Name | Mountaineer Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1033299862
PECOS PAC ID: 2769552504
Enrollment ID: O20080605000019 |
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| Entity Name | New Lifeclinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316354574
PECOS PAC ID: 5092935213
Enrollment ID: O20141009001500 |
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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 Thomas Jerome Devlin 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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Dr Thomas Jerome Devlin, MD
Po Box 457,
Beaver, PA 15009-0457
Ph: (304) 947-5500 | Dr Thomas Jerome Devlin, MD
783 Winchester Street,
Paw Paw, WV 25434-0002
Ph: (304) 947-5500 |
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