Moonflower Group Llc is a medicare enrolled "Audiologist" provider in Mission, Texas. Their current practice location is
1914 E Griffin Pkwy, Mission, Texas. You can reach out to their office (for appointments etc.) via phone at
(956) 580-3277.
Moonflower Group Llc is licensed to practice in Texas (license number 51085) and it also participates in the medicare program. Moonflower Group Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720376361.
Healthcare Provider's Profile
| Full Name | Moonflower Group Llc |
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| Type | Facility |
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| Speciality | Audiologist |
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| Location | 1914 E Griffin Pkwy, Mission, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720376361
- Provider Enumeration Date: 07/18/2011
- Last Update Date: 01/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800061698
- Enrollment ID: O20111206000388
Medical Identifiers
Medical identifiers for Moonflower Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720376361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 51085 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Moonflower Group Llc acts as a billing entity for following providers:
| Provider Name | Patricia Flores Roldan |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1154646073
PECOS PAC ID: 2961686571
Enrollment ID: I20110406000272 |
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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. Moonflower Group Llc 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 |
|---|
Moonflower Group Llc
2102 Crystal Dr,
Mission, TX 78572-7781
Ph: (956) 580-3277 | Moonflower Group Llc
1914 E Griffin Pkwy,
Mission, TX 78572-3106
Ph: (956) 580-3277 |
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