Mr Jeremiah L Loch, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Dekalb, Illinois. His current practice location is
1 Kish Hospital Dr, Dekalb, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 756-1521.
Mr Jeremiah L Loch is licensed to practice in Illinois (license number 041128750) 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 1518969526.
Physician's Profile
| Full Name | Mr Jeremiah L Loch |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1 Kish Hospital Dr, Dekalb, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518969526
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 08/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 9335030469
- Enrollment ID: I20040325000584
Medical Identifiers
Medical identifiers for Mr Jeremiah L Loch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518969526 | NPI | - | NPPES |
| 332364034001 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 209.000126 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | 041.128750 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 209-000126 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 041-128750 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 041128750 (Illinois) | 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. Mr Jeremiah L Loch allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
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| Entity Name | Valley Pain Care Centers, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
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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. Mr Jeremiah L Loch 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 |
Mr Jeremiah L Loch, CRNA 1 Kish Hospital Dr., Dekalb, IL 60115-9602 Ph: (815) 756-1521 | Mr Jeremiah L Loch, CRNA 1 Kish Hospital Dr, Dekalb, IL 60115 Ph: (815) 756-1521 |
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