| Dean V Moesch, MD | |
|
1000 Medical Center Dr, Hardeeville, SC 29927-3446 | |
| (912) 629-0457 | |
| (912) 629-0468 |
| Full Name | Dean V Moesch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 1000 Medical Center Dr, Hardeeville, South Carolina |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508819970 | NPI | - | NPPES |
| 000412728K | Medicaid | GA | |
| 20058502 | Other | FIRST CHOICE | |
| 10075550 | Other | AMERIGROUP | |
| 44155 | Other | KY | LICENSE |
| P00316955 | Other | GA | RAILROAD MEDICARE |
| P00646674 | Other | SC | RAILROAD MEDICARE |
| 027873 | Other | GA | LICENSE # |
| N333567 | Other | WELLCARE | |
| 52022342 | Other | GA | BCBSGA |
| G27873 | Medicaid | SC | |
| 14702 | Other | SC | LICENSE # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Medical Center | Modesto, CA | Hospital |
| Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
| Los Angeles Community Hospital | Los angeles, CA | Hospital |
| Jupiter Medical Center | Jupiter, FL | Hospital |
| Doctors Hospital Of Riverside, Llc | Riverside, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rdc Imaging Pllc | 5496248890 | 9 |
| Capital Health Multispecialty Group | 1850689894 | 342 |
| Outpatient Imaging, Llc | 8022029149 | 20 |
| Uvalde County Hospital Authority | 7315832722 | 26 |
| Rdc Imaging Pllc | 5496248890 | 9 |
| Imaging Partners Pllc | 1254654809 | 9 |
| Kc Tan Md Medical Corporation | 2062719719 | 23 |
| Kc Tan Md Medical Corporation | 2062719719 | 23 |
| Suburban Medical Group Llc | 6204145642 | 29 |
| Maverick County Rural Radiologists P A | 0648245415 | 4 |
| Imaging Partners Pllc | 1254654809 | 9 |
| Dynamic Medical Solutions | 5395996284 | 4 |
| Merit Radiology Pllc | 3274970256 | 19 |
| Suburban Medical Group Llc | 6204145642 | 29 |
| Mountain Communities Healthcare District | 9133227135 | 34 |
| Maverick County Rural Radiologists P A | 0648245415 | 4 |
| Modesto Radiological Medical Group Inc | 2062300239 | 95 |
| Entity Name | Diagnostic Imaging Specialists PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366424947 PECOS PAC ID: 8123012366 Enrollment ID: O20040412000946 |
| Entity Name | Outpatient Imaging, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053386219 PECOS PAC ID: 8022029149 Enrollment ID: O20060605000128 |
| Entity Name | Coastal Imaging Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114263456 PECOS PAC ID: 0042464364 Enrollment ID: O20130213000406 |
| Entity Name | Los Angeles Radiology Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366525487 PECOS PAC ID: 7517968167 Enrollment ID: O20130725000257 |
| Entity Name | Singleton Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20150429000171 |
| Entity Name | Charleston Radiologists PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811000177 PECOS PAC ID: 9436054715 Enrollment ID: O20151104000159 |
| Entity Name | Pro Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164966461 PECOS PAC ID: 1052696432 Enrollment ID: O20170327002470 |
| Entity Name | Lifebrite Hospital Group of Early LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194258129 PECOS PAC ID: 7810263589 Enrollment ID: O20171024003011 |
| Entity Name | Lifebrite Hospital Group of Early LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598297590 PECOS PAC ID: 7810263589 Enrollment ID: O20171130002324 |
| Entity Name | Radiology Associates of Wyoming Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174528707 PECOS PAC ID: 2365355906 Enrollment ID: O20171226001898 |
| Entity Name | M & B Imaging, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932624723 PECOS PAC ID: 1557623782 Enrollment ID: O20180327002648 |
| Entity Name | Radiology Alliance PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180601000411 |
| Entity Name | Synergy Radiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558886341 PECOS PAC ID: 2668727744 Enrollment ID: O20180613001114 |
| Entity Name | Radiology Associates of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20190306003694 |
| Entity Name | St Josephs Imaging Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093709180 PECOS PAC ID: 5991775553 Enrollment ID: O20190402001025 |
| Entity Name | Prospect Hill Radiology Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235122425 PECOS PAC ID: 6204806862 Enrollment ID: O20190403002331 |
| Entity Name | Tulsa X-ray Laboratory Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144211582 PECOS PAC ID: 4183537426 Enrollment ID: O20200114003782 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20200306002073 |
| Entity Name | Simonmed Imaging Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20210318002336 |
| Entity Name | Howard John Simon MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20210323002272 |
| Entity Name | Howard Simon MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20210323002759 |
| Entity Name | Health Diagnostics of California a Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20210401001610 |
| Entity Name | Smi Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20210416000100 |
| Entity Name | Modesto Radiological Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747547 PECOS PAC ID: 2062300239 Enrollment ID: O20220331000871 |
| Entity Name | Butler Imaging and Interventional Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659518389 PECOS PAC ID: 8426115478 Enrollment ID: O20220411000917 |
| Entity Name | North Star Mri LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20220427001110 |
| Entity Name | North Star GV LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20220428001624 |
| Entity Name | North Star Diagnostic Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20220510001199 |
| Entity Name | North Star FP LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20220512000375 |
| Entity Name | North Star FM LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20220526000010 |
| Entity Name | North Star Mri of Frisco LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20220526000507 |
| Entity Name | North Star CN LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20220531000781 |
| Entity Name | North Star Npt LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20220614000948 |
| Entity Name | Suburban Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710355029 PECOS PAC ID: 6204145642 Enrollment ID: O20220621002462 |
| Entity Name | North Star Plano Parkway LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740601863 PECOS PAC ID: 0244456002 Enrollment ID: O20220729000293 |
| Entity Name | Shps PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20220824003009 |
| Entity Name | KC Tan MD Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20230821002961 |
| Entity Name | Washington Radiologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20230831003641 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033147921 PECOS PAC ID: 3274420971 Enrollment ID: O20231011001026 |
| Entity Name | Vesta Telemedicine Solutions PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20231016002209 |
| Entity Name | Maverick County Rural Radiologists P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437117181 PECOS PAC ID: 0648245415 Enrollment ID: O20231213002297 |
| Entity Name | Radiology Associates of Murray PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497789523 PECOS PAC ID: 6608818828 Enrollment ID: O20250113001649 |
| Entity Name | Amboy Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104692672 PECOS PAC ID: 2860538170 Enrollment ID: O20251119003919 |
| Entity Name | Radiologic Consultants, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649283219 PECOS PAC ID: 3971498841 Enrollment ID: O20251119004687 |
| Entity Name | Rdc Imaging PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972392819 PECOS PAC ID: 5496248890 Enrollment ID: O20260506003221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dean V Moesch, MD Po Box 15479, Savannah, GA 31416-2179 Ph: (912) 629-0457 | Dean V Moesch, MD 1000 Medical Center Dr, Hardeeville, SC 29927-3446 Ph: (912) 629-0457 |