Dr Lavinia Paige Moeller, DO is a medicare enrolled "Surgery" physician in Bloomfield, New Jersey. Her current practice location is
323 Belleville Avenue, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 429-1010.
Dr Lavinia Paige Moeller is licensed to practice in New Jersey (license number MB69110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417069931.
Physician's Profile
Full Name | Dr Lavinia Paige Moeller |
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Gender | Female |
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Speciality | Surgery |
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Location | 323 Belleville Avenue, Bloomfield, New Jersey |
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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: 1417069931
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/13/2012
Medicare PECOS Information:
- PECOS PAC ID: 0749215176
- Enrollment ID: I20051004000817
Medical Identifiers
Medical identifiers for Dr Lavinia Paige Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417069931 | NPI | - | NPPES |
8289701 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MB69110 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lavinia Paige Moeller allows following entities to bill medicare on her behalf.
Entity Name | Central Avenue Professional Services, Pc |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544 |
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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 Lavinia Paige Moeller 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 Lavinia Paige Moeller, DO 27 Knoll Terrace, West Caldwell, NJ 07006-7307 Ph: (973) 575-4339 | Dr Lavinia Paige Moeller, DO 323 Belleville Avenue, Bloomfield, NJ 07003 Ph: (973) 429-1010 |
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