Raven Lionel Deloatch, MD is a medicare enrolled "Internal Medicine" physician in Jackson, North Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Rural Health Group Inc and his current practice location is
9425 Nc Highway 305, Jackson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 534-1661.
Raven Lionel Deloatch is licensed to practice in North Carolina (license number 31478) 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 1740268598.
Physician's Profile
| Full Name | Raven Lionel Deloatch |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | 9425 Nc Highway 305, Jackson, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Raven Lionel Deloatch attended and graduated from Brody School Of Medicine At East Carolina University in 1984
NPI Data:
- NPI Number: 1740268598
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466484241
- Enrollment ID: I20050831000877
Medical Identifiers
Medical identifiers for Raven Lionel Deloatch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740268598 | NPI | - | NPPES |
| 28324 | Other | NC | BLUE CROSS BLUE SHIELD # |
| 110147756 | Other | NC | RAILROAD MEDICARE # |
| 0454365 | Other | NC | UNITED HEALTH CARE # |
| D2792 | Other | NC | MEDCOST LLC PROVIDER # |
| 31478 | Other | NC | NC MEDICAL LICENSE # |
| 7928324 | Medicaid | NC | |
| 112536 | Other | NC | ANTHEM SERVICES PROVIDER# |
| 289354 | Other | NC | MAMSI PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 31478 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rural Health Group Inc | 9739090226 | 46 |
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. Raven Lionel Deloatch allows following entities to bill medicare on his behalf.
| Entity Name | Rural Health Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689626178
PECOS PAC ID: 9739090226
Enrollment ID: O20050708000124 |
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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. Raven Lionel Deloatch 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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Raven Lionel Deloatch, MD
Po Box 640,
Roanoke Rapids, NC 27870-0640
Ph: (252) 536-5791 | Raven Lionel Deloatch, MD
9425 Nc Highway 305,
Jackson, NC 27845-9679
Ph: (252) 534-1661 |
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