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Elizabeth Diane Loy

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St Bldg Suite303, Louisville, KY 40202

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH LOY.

Based on the most recent information from CMS, provider Elizabeth Diane Loy is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1922050103
Provider Type
Individual
Full Name
Loy, Elizabeth Diane
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/16/2006
Last Updated
10/23/2020

Contact Information

Practice Location

200 E Chestnut St Bldg Suite303, Louisville, KY 40202

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 25249 Kentucky
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 25249 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 64252497	Description Medicaid	Issuer Unlisted Kentucky
ID 100360780	Description Medicaid	Issuer Unlisted Indiana

Elizabeth Diane Loy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

Provider Identifiers

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