Dr Kevin Emmanuel Moriles, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Athens, Georgia. His current practice location is
1500 Oglethorpe Ave Ste 200d, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 389-3875.
Dr Kevin Emmanuel Moriles is licensed to practice in * (Not Available) (license number ) 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 1073193835.
Physician's Profile
Full Name | Dr Kevin Emmanuel Moriles |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 Oglethorpe Ave Ste 200d, Athens, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073193835
- Provider Enumeration Date: 04/14/2021
- Last Update Date: 08/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426458951
- Enrollment ID: I20210621001216
Medical Identifiers
Medical identifiers for Dr Kevin Emmanuel Moriles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073193835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 12667 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Kevin Emmanuel Moriles 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 Address | Practice Location Address |
Dr Kevin Emmanuel Moriles, DO 1230 Baxter St, Athens, GA 30606-3712 Ph: (706) 389-3860 | Dr Kevin Emmanuel Moriles, DO 1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165 Ph: (706) 389-3875 |
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