Dr Jack Ellis Moseley Jr, MD - Medicare Internal Medicine in Enid, OK

Dr Jack Ellis Moseley Jr, MD is a medicare enrolled "Internal Medicine" physician in Enid, Oklahoma. His current practice location is 2600 E Willow Rd, Northern Oklahoma Resource Center, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 213-2700.

Dr Jack Ellis Moseley Jr is licensed to practice in Oklahoma (license number 20477) 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 1558438887.

Contact Information

Dr Jack Ellis Moseley Jr, MD
2600 E Willow Rd, Northern Oklahoma Resource Center,
Enid, OK 73701-8715
(580) 213-2700
(580) 548-2647

Map and Direction




Physician's Profile

Full NameDr Jack Ellis Moseley Jr
GenderMale
SpecialityInternal Medicine
Location2600 E Willow Rd, Enid, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558438887
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 08/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0143260877
  • Enrollment ID: I20170307002213

Medical Identifiers

Medical identifiers for Dr Jack Ellis Moseley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558438887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20477 (Oklahoma)Primary
208000000XPediatrics 20477 (Oklahoma)Secondary

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 Jack Ellis Moseley Jr 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
Dr Jack Ellis Moseley Jr, MD
2600 E. Willow, Northern Oklahoma Resource Center,
Enid, OK 73701-8715

Ph: (580) 213-2700
Dr Jack Ellis Moseley Jr, MD
2600 E Willow Rd, Northern Oklahoma Resource Center,
Enid, OK 73701-8715

Ph: (580) 213-2700

Reviews and Comments


Internal Medicine Doctors in Enid, OK

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Phone: 580-977-1950    Fax: 580-977-1949

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.