Dr Jeffrey Elting Deyo, MD, PHD in Baton Rouge, LA - Medicare Pediatrics

Dr Jeffrey Elting Deyo, MD, PHD is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Baton Rouge, Louisiana. His current practice location is 8300 Constantin Blvd, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 763-6337.

Dr Jeffrey Elting Deyo is licensed to practice in Louisiana (license number 15187R) 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 1619962032.

Contact Information

	Dr Jeffrey Elting Deyo, MD, PHD
	8300 Constantin Blvd, Baton Rouge, LA 70809-3489
	(225) 763-6337
	(225) 374-4661

Physician's Profile

Full Name	Dr Jeffrey Elting Deyo
Gender	Male
Speciality	Pediatrics - Pediatric Hematology-oncology
Location	8300 Constantin Blvd, Baton Rouge, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619962032
Provider Enumeration Date: 09/12/2005
Last Update Date: 08/31/2021

Medicare PECOS Information:

PECOS PAC ID: 9335040948
Enrollment ID: I20040116000523

Medical Identifiers

Medical identifiers for Dr Jeffrey Elting Deyo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619962032	NPI	-	NPPES
1193500	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	15187R (Louisiana)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	15187R (Louisiana)	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. Dr Jeffrey Elting Deyo allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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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. Dr Jeffrey Elting Deyo 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
Dr Jeffrey Elting Deyo, MD, PHD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0002	Dr Jeffrey Elting Deyo, MD, PHD 8300 Constantin Blvd, Baton Rouge, LA 70809-3489 Ph: (225) 763-6337

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Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-1733
Dr. Daniel Gregg Sloven, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-2054
Traci T. Lacy, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044
Dr. Michelle L Flechas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810 Phone: 225-769-2003 Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809 Phone: 225-374-1410 Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806 Phone: 225-765-5633 Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818 Phone: 225-761-5200

Dr Jeffrey Elting Deyo, MD, PHD - Medicare Pediatrics in Baton Rouge, LA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

HUB Foundation for Organoid Technology signs licensing agreement with STEMCELL Technologies

Study confirms tamoxifen is superior to fulvestrant in blocking estrogen

First COPD patient treated with RejuvenAir System in a multicenter clinical trial

GIS scientists publish the first genetic historical map of Han Chinese

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

HUB Foundation for Organoid Technology signs licensing agreement with STEMCELL Technologies

Study confirms tamoxifen is superior to fulvestrant in blocking estrogen

First COPD patient treated with RejuvenAir System in a multicenter clinical trial

GIS scientists publish the first genetic historical map of Han Chinese

Pediatrics Doctors in Baton Rouge, LA