Dr Timothy Alan Moses, MD is a medicare enrolled "Urology" physician in Crestview, Florida. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Okaloosa Clinic Corp and his current practice location is
550 Redstone Ave W Ste 370, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 423-9976.
Dr Timothy Alan Moses is licensed to practice in Florida (license number ME144367) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700846656.
Physician's Profile
| Full Name | Dr Timothy Alan Moses |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 38 Years |
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| Location | 550 Redstone Ave W Ste 370, Crestview, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy Alan Moses graduated from medical school in 1986
NPI Data:
- NPI Number: 1700846656
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 07/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254327695
- Enrollment ID: I20200429000433
Medical Identifiers
Medical identifiers for Dr Timothy Alan Moses such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700846656 | NPI | - | NPPES |
| 790110W | Medicaid | NC | |
| 340013661 | Other | NC | RAILROAD MEDICARE |
| 8960187 | Medicaid | NC | |
| 0110W | Other | NC | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 9500670 (North Carolina) | Secondary |
| 208800000X | Urology | 17208 (South Carolina) | Secondary |
| 208800000X | Urology | ME144367 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Okaloosa Clinic Corp | 0244205565 | 13 |
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 Timothy Alan Moses allows following entities to bill medicare on his behalf.
| Entity Name | North Okaloosa Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659329852
PECOS PAC ID: 0244205565
Enrollment ID: O20040831000576 |
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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 Timothy Alan Moses 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 |
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Dr Timothy Alan Moses, MD
550 Redstone Ave W Ste 370,
Crestview, FL 32536-6429
Ph: (850) 423-9976 | Dr Timothy Alan Moses, MD
550 Redstone Ave W Ste 370,
Crestview, FL 32536-6429
Ph: (850) 423-9976 |
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