Bradley Lee Moses, DDS in Shreveport, LA - Medicare Dentist Provider

Bradley Lee Moses, DDS is a medicare enrolled "Dentist - General Practice" provider in Shreveport, Louisiana. His current practice location is 7030 Youree Dr Ste B, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 402-4604.

Bradley Lee Moses is licensed to practice in Louisiana (license number 6975) 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 1417448200.

Contact Information

	Bradley Lee Moses, DDS
	7030 Youree Dr Ste B, Shreveport, LA 71105-5109
	(318) 402-4604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Lee Moses
Gender	Male
Speciality	Dentist - General Practice
Location	7030 Youree Dr Ste B, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417448200
Provider Enumeration Date: 05/29/2018
Last Update Date: 06/07/2019

Medicare PECOS Information:

PECOS PAC ID: 3274999396
Enrollment ID: I20230516002094

Medical Identifiers

Medical identifiers for Bradley Lee Moses such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417448200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6975 (Louisiana)	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. Bradley Lee Moses allows following entities to bill medicare on his behalf.

Entity Name	Moses Family Dentistry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952007197 PECOS PAC ID: 2365808482 Enrollment ID: O20230516001929

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. Bradley Lee 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
Bradley Lee Moses, DDS 4835 Hearst St Apt 207, Metairie, LA 70001-1192 Ph: (913) 602-0519	Bradley Lee Moses, DDS 7030 Youree Dr Ste B, Shreveport, LA 71105-5109 Ph: (318) 402-4604

Reviews and Comments

Dentist in Shreveport, LA

Dr. Jared Michael Boyd, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2042 Line Ave, Shreveport, LA 71104 Phone: 318-425-5356 Fax: 318-674-2898
Nadia Mohammadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 Youree Dr, Shreveport, LA 71105 Phone: 318-239-1638
Dr. Christopher Allen Marsalis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 Phone: 318-688-9330
Dr. Rufus Vardis Loud, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2701 Frederick St, Shreveport, LA 71109 Phone: 318-631-3464 Fax: 318-631-3464
Dr. John Eric Monsour, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Kayla St, Suite 200, Shreveport, LA 71105 Phone: 318-865-4382 Fax: 318-865-4386
Dr. Gregory Neil Bane, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave Bldg 57, Shreveport, LA 71101 Phone: 318-221-8411
Dr. James Richard Brown Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 North Market Street, Shreveport, LA 71107 Phone: 318-424-6405 Fax: 318-424-1599

Bradley Lee Moses, DDS - Medicare Dentist in Shreveport, LA