Gregory D Loose Od - Medicare Optometrist in Wiggins, MS

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Gregory D Loose Od is a medicare enrolled "Optometrist" provider in Wiggins, Mississippi. Their current practice location is 1113 Central Ave E, Wiggins, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 928-3914.

Gregory D Loose Od is licensed to practice in Mississippi (license number 758) and it also participates in the medicare program. Gregory D Loose Od is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1790962637.

Contact Information

Gregory D Loose Od
1113 Central Ave E,
Wiggins, MS 39577
(601) 928-3914
(601) 928-2207

Map and Direction




Healthcare Provider's Profile

Full NameGregory D Loose Od
TypeFacility
SpecialityOptometrist
Location1113 Central Ave E, Wiggins, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790962637
  • Provider Enumeration Date: 01/23/2008
  • Last Update Date: 09/25/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6406929744
  • Enrollment ID: O20080721000393

Medical Identifiers

Medical identifiers for Gregory D Loose Od such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790962637NPI-NPPES
002070251MedicaidMS
200017755MedicaidMS
200022379MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 758 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gregory D Loose Od acts as a billing entity for following providers:
Provider NameGregory D Loose
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013096825
PECOS PAC ID: 3173629904
Enrollment ID: I20070510000425
Provider NameMax M Edrington
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336172428
PECOS PAC ID: 0749353084
Enrollment ID: I20080721000422
Provider NameBreeley Od Sellier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780253633
PECOS PAC ID: 1456756204
Enrollment ID: I20210817004280
Provider NameKristen Ana Trainer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376434613
PECOS PAC ID: 4587164835
Enrollment ID: I20250821004189
Provider NameJenny Len Hong Phan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669250262
PECOS PAC ID: 6800376625
Enrollment ID: I20260219000575

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. Gregory D Loose Od 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 AddressPractice Location Address
Gregory D Loose Od
1113 Central Ave E,
Wiggins, MS 39577-9605

Ph: (601) 928-3914		Gregory D Loose Od
1113 Central Ave E,
Wiggins, MS 39577

Ph: (601) 928-3914

Reviews and Comments


Optometrist in Wiggins, MS

Dr. Gregory D Loose, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1113 Central Ave E, Wiggins, MS 39577
Phone: 601-928-3914    Fax: 601-716-9824
Dr. Dillon Ott, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1113 Central Ave E, Wiggins, MS 39577
Phone: 601-928-3914    Fax: 601-928-2207

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.