Scott Moulton, FNP, RN, DC is a medicare enrolled "Nurse Practitioner - Family" provider in Arlington, Texas. His current practice location is
400 W Arbrook Blvd Ste 120, Arlington, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 522-3672.
Scott Moulton is licensed to practice in Texas (license number 774434) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710040761.
Healthcare Provider's Profile
| Full Name | Scott Moulton |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 400 W Arbrook Blvd Ste 120, Arlington, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710040761
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 12/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214954924
- Enrollment ID: I20141007002635
Medical Identifiers
Medical identifiers for Scott Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710040761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6383 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 774434 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Scott Moulton allows following entities to bill medicare on his behalf.
| Provider Name | Texas Pain Relief Group Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003246299
PECOS PAC ID: 2668603952
Enrollment ID: O20140331000940 |
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| Provider Name | Imed Physician Network, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063809465
PECOS PAC ID: 6608103155
Enrollment ID: O20190807001189 |
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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. Scott Moulton 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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Scott Moulton, FNP, RN, DC
504 N Reo St,
Tampa, FL 33609-1013
Ph: (813) 549-2134 | Scott Moulton, FNP, RN, DC
400 W Arbrook Blvd Ste 120,
Arlington, TX 76014-3175
Ph: (817) 522-3672 |
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