Individual provider Active NPI

Andrew Lovy, D. O.

  • Geriatric Psychiatry Physician
  • Macon, MO
National Provider Identifier
1013917525
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
2003025132 Issued in MO
Practice address
303 Weller St
Macon, MO 63552-1942
Phone
(660) 395-0180
Fax
(660) 395-0181
NPI assigned
Jul 26, 2005
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 2003025132 MO Primary

Addresses

Primary practice location

303 Weller St
Macon, MO 63552-1942

Mailing address

29400 Lake Way
Kirksville, MO 63501-8414
Phone (660) 665-1618

Other identifiers 1

IdentifierTypeStateIssuer
209026905MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217001140 MO Practitioner - PsychiatryPractitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Addiction Medicine 6103710678 Reassigns benefits to 1 organization
Practice locations: Macon, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Twain Association for Mental Health, Inc CurrentSince Aug 29, 2018 Accepting new patients
Mark Twain Association for Mental Health, Inc. CurrentSince Aug 29, 2018 Accepting new patients
Health and Healing LLC PastSince May 8, 2008 Accepting new patients

Locations

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

917 Broadway
Hannibal, MO 63401
Phone (573) 221-2120

105 Pfeiffer Ave
Kirksville, MO 63501
Phone (660) 627-5757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1013917525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29400 LAKE WAY",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635018414",
            "telephone_number": "660-665-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WELLER ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521942",
            "telephone_number": "660-395-0180",
            "fax_number": "660-395-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVY",
        "first_name": "ANDREW",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MO",
            "license": "2003025132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209026905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.