| Clint Cameron Moss, MD | |
|
815 Pecan Grove Rd E, Sherman, TX 75090-1768 | |
| (903) 892-2126 | |
| (903) 992-2129 |
| Full Name | Clint Cameron Moss |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 815 Pecan Grove Rd E, Sherman, Texas |
| 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 |
|---|---|---|---|
| 1578726352 | NPI | - | NPPES |
| 316328901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | P0769 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Street 5.01(a) Inc | 0042464125 | 149 |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Cameron Moss, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 | Clint Cameron Moss, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 |
Matthew Helm, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 | |
Mark David Koone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 | |
Johnny Creed Stewart, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Pecan Grove Rd E, Sherman, TX 75090 Phone: 903-892-2126 Fax: 903-892-2129 |