Melissa A Looney, APN is a medicare enrolled "Nurse Practitioner - Family" physician in West Memphis, Arkansas. Her current practice location is
310 W Tyler, West Memphis, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 732-2398.
Melissa A Looney is licensed to practice in Arkansas (license number A001693) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285735183.
Physician's Profile
| Full Name | Melissa A Looney |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 310 W Tyler, West Memphis, Arkansas |
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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: 1285735183
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 12/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 9931001880
- Enrollment ID: I20040122000431
Medical Identifiers
Medical identifiers for Melissa A Looney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285735183 | NPI | - | NPPES |
| 149768758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | AO1693 (Arkansas) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | APN0000012160 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A001693 (Arkansas) | 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. Melissa A Looney allows following entities to bill medicare on her behalf.
| Entity Name | Ut Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780676650
PECOS PAC ID: 3173435369
Enrollment ID: O20121102000065 |
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| Entity Name | Southern Cardiovascular Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447415104
PECOS PAC ID: 0042388373
Enrollment ID: O20130605000019 |
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| Entity Name | Proactive Heart & Vascular Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700973625
PECOS PAC ID: 6406753748
Enrollment ID: O20200327000397 |
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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. Melissa A Looney 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 |
|---|
Melissa A Looney, APN
Po Box 1000 Dept 960,
Memphis, TN 38148-0001
Ph: (901) 763-0200 | Melissa A Looney, APN
310 W Tyler,
West Memphis, AR 72301
Ph: (870) 732-2398 |
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