Clint Cameron Moss, MD is a medicare enrolled "Dermatology" physician in Sherman, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc and his current practice location is
815 Pecan Grove Rd E, Sherman, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 892-2126.
Clint Cameron Moss is licensed to practice in Texas (license number P0769) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578726352.
Physician's Profile
| Full Name | Clint Cameron Moss |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 18 Years |
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| Location | 815 Pecan Grove Rd E, Sherman, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Clint Cameron Moss attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2008
NPI Data:
- NPI Number: 1578726352
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 07/26/2017
Medicare PECOS Information:
- PECOS PAC ID: 4486817061
- Enrollment ID: I20120517000473
Medical Identifiers
Medical identifiers for Clint Cameron Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578726352 | NPI | - | NPPES |
| 316328901 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | P0769 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oliver Street 5.01(a) Inc | 0042464125 | 170 |
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. Clint Cameron Moss allows following entities to bill medicare on his behalf.
| Entity Name | Oliver Street 5.01(a) Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189 |
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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. Clint Cameron Moss 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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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 |
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