David Carroll Mooth, MD - Medicare Emergency Medicine in Carlyle, IL

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David Carroll Mooth, MD is a medicare enrolled "Emergency Medicine" physician in Carlyle, Illinois. His current practice location is 9360 Brinkman Rd, Carlyle, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 594-2329.

David Carroll Mooth is licensed to practice in Illinois (license number 036-093809) 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 1255357778.

Contact Information

David Carroll Mooth, MD
9360 Brinkman Rd,
Carlyle, IL 62231-3263
(618) 594-2329
Not Available

Map and Direction




Physician's Profile

Full NameDavid Carroll Mooth
GenderMale
SpecialityEmergency Medicine
Location9360 Brinkman Rd, Carlyle, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255357778
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 02/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4284697657
  • Enrollment ID: I20041105001111

Medical Identifiers

Medical identifiers for David Carroll Mooth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255357778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036-093809 (Illinois)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. David Carroll Mooth allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameMidwest Emergency Good Samaritan, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629367578
PECOS PAC ID: 1658529342
Enrollment ID: O20120921000645
Entity NameMidwest Emergency Centralia Campus Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396034245
PECOS PAC ID: 2163672650
Enrollment ID: O20121018000074
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284

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. David Carroll Mooth 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 AddressPractice Location Address
David Carroll Mooth, MD
9360 Brinkman Rd,
Carlyle, IL 62231-3263

Ph: (618) 594-2329		David Carroll Mooth, MD
9360 Brinkman Rd,
Carlyle, IL 62231-3263

Ph: (618) 594-2329

Reviews and Comments


Emergency Medicine Doctors in Carlyle, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.