Mrs Autumn M Loomis, MD in Ketchum, ID - Medicare Emergency Medicine

Mrs Autumn M Loomis, MD is a medicare enrolled "Emergency Medicine" physician in Ketchum, Idaho. Her current practice location is 100 Hospital Dr, Ketchum, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 727-8100.

Mrs Autumn M Loomis is licensed to practice in Idaho (license number M-16646) 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 1457676314.

Contact Information

	Mrs Autumn M Loomis, MD
	100 Hospital Dr, Ketchum, ID 83340
	(208) 727-8100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Autumn M Loomis
Gender	Female
Speciality	Emergency Medicine
Location	100 Hospital Dr, Ketchum, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457676314
Provider Enumeration Date: 04/05/2010
Last Update Date: 07/26/2022

Medicare PECOS Information:

PECOS PAC ID: 3476720582
Enrollment ID: I20220922001148

Medical Identifiers

Medical identifiers for Mrs Autumn M Loomis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457676314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	46501 (Kentucky)	Secondary
207P00000X	Emergency Medicine	M-16646 (Idaho)	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. Mrs Autumn M Loomis allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic - Wood River Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972891604 PECOS PAC ID: 3173783818 Enrollment ID: O20120404000474

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. Mrs Autumn M Loomis 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
Mrs Autumn M Loomis, MD 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Mrs Autumn M Loomis, MD 100 Hospital Dr, Ketchum, ID 83340 Ph: (208) 727-8100

Reviews and Comments

Emergency Medicine Doctors in Ketchum, ID

Kevin Kittleson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100
Dr. Janet Anne Rosenquist, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Drive., Ketchum, ID 83340 Phone: 208-727-8100 Fax: 208-727-8124
Keith Thomas Sivertson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8445 Fax: 298-727-8446
Kelly Dilorenzo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8100
Deborah G Robertson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Hospital Drive, Ketchum, ID 83340 Phone: 208-727-8100
Dr. Jennie Hooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Ketchum, ID 83340 Phone: 208-727-8283

Mrs Autumn M Loomis, MD - Medicare Emergency Medicine in Ketchum, ID