Dr Jacob Theodoor Moll, MD is a
Preventive Medicine - Aerospace Medicine physician based in Danville, Virginia. Dr Jacob Theodoor Moll is licensed to practice in Virginia (license number 0101019920) and his current practice location is 723 Piney Forest Rd, Danville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 773-6830.
NPI number for Dr Jacob Theodoor Moll is 1013071794 and his current mailing address is 570 Country Place Rd, Axton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013071794.
Physician's Profile
| Full Name | Dr Jacob Theodoor Moll |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 723 Piney Forest Rd, Danville, Virginia |
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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: 1013071794
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jacob Theodoor Moll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013071794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 0101019920 (Virginia) | 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 Jacob Theodoor Moll 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 Jacob Theodoor Moll, MD
570 Country Place Rd,
Axton, VA 24054-2566
Ph: (276) 666-5908 | Dr Jacob Theodoor Moll, MD
723 Piney Forest Rd,
Danville, VA 24540-2860
Ph: (434) 773-6830 |
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