Deloyn L Mcdonough, PA-C is a medicare enrolled "Physician Assistant" in Charleston, Tennessee. He graduated from nursing school in 1975 and has 51 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Preferred Family Medical Care Llc and his current practice location is
9026 Hiwassee Street Ne, Charleston, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 665-3666.
Deloyn L Mcdonough is licensed to practice in Tennessee (license number 0121) 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 1487662672.
Provider's Profile
| Full Name | Deloyn L Mcdonough |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 51 Years |
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| Location | 9026 Hiwassee Street Ne, Charleston, Tennessee |
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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:
- Deloyn L Mcdonough graduated from nursing school in 1975
NPI Data:
- NPI Number: 1487662672
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850399833
- Enrollment ID: I20061130000070
Medical Identifiers
Medical identifiers for Deloyn L Mcdonough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487662672 | NPI | - | NPPES |
| 1512988 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0121 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Preferred Family Medical Care Llc | 6800013608 | 3 |
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. Deloyn L Mcdonough allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Services P C |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669414264
PECOS PAC ID: 6204730195
Enrollment ID: O20031121000687 |
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| Entity Name | Physician First PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629108691
PECOS PAC ID: 3870533078
Enrollment ID: O20050506000504 |
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| Entity Name | Preferred Family Medical Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699188029
PECOS PAC ID: 6800013608
Enrollment ID: O20140818001619 |
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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. Deloyn L Mcdonough 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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Deloyn L Mcdonough, PA-C
Po Box 15,
Charleston, TN 37310
Ph: (423) 665-3666 | Deloyn L Mcdonough, PA-C
9026 Hiwassee Street Ne,
Charleston, TN 37310
Ph: (423) 665-3666 |
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