Loren Carroll, MD - Medicare Family Practice in Jackson, TN

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Loren Carroll, MD is a medicare enrolled "Family Medicine" physician in Jackson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ultra Health Llc, Crockett Medical Clinic Inc and his current practice location is 346 Shadow Ridge Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 345-0263.

Loren Carroll is licensed to practice in Tennessee (license number 51998) 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 1104168178.

Contact Information

Loren Carroll, MD
346 Shadow Ridge Dr,
Jackson, TN 38305-8507
(731) 345-0263
Not Available

Map and Direction




Physician's Profile

Full NameLoren Carroll
GenderMale
SpecialityFamily Practice
Experience12 Years
Location346 Shadow Ridge Dr, Jackson, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Loren Carroll attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1104168178
  • Provider Enumeration Date: 03/18/2013
  • Last Update Date: 06/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0749409209
  • Enrollment ID: I20150421001883

Medical Identifiers

Medical identifiers for Loren Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104168178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 51998 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Volunteer Home CareHumboldt, TNHome health agency
Abilishealth Brownsville, LlcBrownsville, TNHome health agency
Avalon HospiceNashville, TNHospice
Caris HealthcareSomerville, TNHospice
Jackson-madison County General HospitalJackson, TNHospital
Henderson County Community HospitalLexington, TNHospital
Dyersburg Regional Medical CenterDyersburg, TNHospital
Milan General HospitalMilan, TNHospital
Nhc Healthcare, MilanMilan, TNNursing home
Ahc Decatur CountyParsons, TNNursing home
Alamo Nursing And Rehabilitation CenterAlamo, TNNursing home
Ahc WestwoodDecaturville, TNNursing home
Bells Nursing And Rehabilitation CenterBells, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ultra Health Llc6800186602113
Crockett Medical Clinic Inc89210098127

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. Loren Carroll allows following entities to bill medicare on his behalf.
Entity NameCrockett Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104839703
PECOS PAC ID: 8921009812
Enrollment ID: O20070119000217
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818
Entity NameUltra Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922469543
PECOS PAC ID: 6800186602
Enrollment ID: O20160607002194
Entity NameUltra Health Providers Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033956057
PECOS PAC ID: 5395284616
Enrollment ID: O20250417001328

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. Loren Carroll 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 AddressPractice Location Address
Loren Carroll, MD
346 Shadow Ridge Dr,
Jackson, TN 38305-8507

Ph: (731) 345-0263		Loren Carroll, MD
346 Shadow Ridge Dr,
Jackson, TN 38305-8507

Ph: (731) 345-0263

Reviews and Comments


Family Medicine Doctors in Jackson, TN

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Michael James Martin, DO
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Melissa A Robbins, MD
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Dr. Ezekiel Oladejo Adetunji, MD
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Hunter Willis, DO
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Kenneth R. Warren, M.D.
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Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305
Phone: 731-664-0103    Fax: 731-664-5666
Anna Elizabeth Glass Burgess, MD
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Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305
Phone: 731-664-1375    Fax: 731-664-1378

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.