| Brian W Moss, MD | |
|
1717 Arlington Ave, Caldwell, ID 83605-4802 | |
| (208) 459-4641 | |
| Not Available |
| Full Name | Brian W Moss |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384201 | NPI | - | NPPES |
| 808048600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M-10302 (Idaho) | Secondary |
| 207P00000X | Emergency Medicine | P3936 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carepoint Health Emergency Medicine Idaho Pllc | 6406283860 | 14 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Entity Name | Align Integrated Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619484102 PECOS PAC ID: 7315201993 Enrollment ID: O20180507002508 |
| Entity Name | Carepoint Health Emergency Medicine Idaho Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275461 PECOS PAC ID: 6406283860 Enrollment ID: O20200224002457 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian W Moss, MD 2965 S Bergman Way, Eagle, ID 83616-4986 Ph: (208) 949-8857 | Brian W Moss, MD 1717 Arlington Ave, Caldwell, ID 83605-4802 Ph: (208) 459-4641 |
Harold Thompson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Brandon Lane, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1717 Arlington Ave, Caldwell, ID 83605 Phone: 208-459-4641 | |
Devin Douglas Dredge, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 Arlington Ave Dept Of, Caldwell, ID 83605 Phone: 208-459-4641 | |
Rourke Yeakley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 E Elm St, Caldwell, ID 83605 Phone: 208-370-7004 | |
Dr. Norval Antonio Rios, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4521 Thomas Jefferson St, Caldwell, ID 83605 Phone: 208-454-4820 Fax: 208-454-4859 |