| Dr Michael L Moser, MD | |
|
1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700 | |
| (541) 767-5200 | |
| (541) 767-5288 |
| Full Name | Dr Michael L Moser |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1515 Village Dr Ste 100, Cottage Grove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427027556 | NPI | - | NPPES |
| 059175 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD18629 (Oregon) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
| Entity Name | Peacehealth Medical Group Cottage Grove |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael L Moser, MD Po Box 24410, Eugene, OR 97402-0451 Ph: Not Available | Dr Michael L Moser, MD 1515 Village Dr Ste 100, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200 |
Mr. Thomas A Firth, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550 |