Dr Staci Moser, DO - Medicare Family Medicine in Minneapolis, MN

Dr Staci Moser, DO is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. Her current practice location is 1000 Nicollet Mall # 260, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 977-0700.

Dr Staci Moser is licensed to practice in Minnesota (license number 47734) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013093004.

Contact Information

Dr Staci Moser, DO
1000 Nicollet Mall # 260,
Minneapolis, MN 55403-2542
(952) 977-0700
(952) 977-1977

Map and Direction




Physician's Profile

Full NameDr Staci Moser
GenderFemale
SpecialityFamily Medicine
Location1000 Nicollet Mall # 260, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013093004
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 03/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5698706471
  • Enrollment ID: I20050823000028

Medical Identifiers

Medical identifiers for Dr Staci Moser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013093004NPI-NPPES
051044100MedicaidMN
1032683OtherPREFERRED ONE/URGENT CARE
106789OtherUCARE/URGENT CARE
66-08691OtherMEDICA/URGENT CARE
HP54874OtherHEALTHPARTNERS/URGENT CAR
0596379MedicaidIA
634T4MOOtherBCBS/URGENT CARE
34680400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 47734 (Minnesota)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 Staci Moser allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameEdina Sports Health & Wellness, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215010335
PECOS PAC ID: 7012817596
Enrollment ID: O20040112000058

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 Staci Moser 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
Dr Staci Moser, DO
1000 Nicollet Mall # 260,
Minneapolis, MN 55403-2542

Ph: (952) 977-0700
Dr Staci Moser, DO
1000 Nicollet Mall # 260,
Minneapolis, MN 55403-2542

Ph: (952) 977-0700

Reviews and Comments


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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.