Dr Edward Sidney Moak, MD is a
Internal Medicine physician based in Monticello, Mississippi. Dr Edward Sidney Moak is licensed to practice in Mississippi (license number 09304) and his current practice location is 1167 E Broad St, Monticello, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 587-1433.
NPI number for Dr Edward Sidney Moak is 1437266384 and his current mailing address is Po Box 490, Mccomb, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437266384.
Physician's Profile
| Full Name | Dr Edward Sidney Moak |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1167 E Broad St, Monticello, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437266384
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Dr Edward Sidney Moak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437266384 | NPI | - | NPPES |
| 00010333 | Medicaid | MS | |
| MS09304 | Other | MS | UPIN BLUE CROSS |
| 060039545 | Other | MS | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 09304 (Mississippi) | Primary |
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. Dr Edward Sidney Moak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Edward Sidney Moak, MD
Po Box 490,
Mccomb, MS 39649-0490
Ph: (601) 250-4366 | Dr Edward Sidney Moak, MD
1167 E Broad St,
Monticello, MS 39654-7682
Ph: (601) 587-1433 |
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