Dr Moses Tabe Ambilichu, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hillsboro, Missouri. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Success Health System Llc, Shawnee Mission Medical Center Inc, Success Health System Llc, Success Health System Llc, Mayo Clinic Health System-northwest Wisconsin Region Inc and his current practice location is
10640 Business 21, Hillsboro, Missouri. You can reach out to his office (for appointments etc.) via phone at
(618) 877-4420.
Dr Moses Tabe Ambilichu is licensed to practice in Missouri (license number 2011019835) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073774238.
Physician's Profile
Full Name | Dr Moses Tabe Ambilichu |
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Gender | Male |
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Speciality | Psychiatry |
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Experience | 22 Years |
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Location | 10640 Business 21, Hillsboro, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Moses Tabe Ambilichu graduated from medical school in 2002
NPI Data:
- NPI Number: 1073774238
- Provider Enumeration Date: 06/20/2008
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224205307
- Enrollment ID: I20120112000211
Medical Identifiers
Medical identifiers for Dr Moses Tabe Ambilichu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073774238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2011019835 (Missouri) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 04-39077 (Kansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Success Health System Llc | 2961787809 | 5 |
Shawnee Mission Medical Center Inc | 9537119037 | 177 |
Success Health System Llc | 2961787809 | 5 |
Success Health System Llc | 2961787809 | 5 |
Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 623 |
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 Moses Tabe Ambilichu allows following entities to bill medicare on his behalf.
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
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Entity Name | Success Health System Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508310293 PECOS PAC ID: 2961787809 Enrollment ID: O20170316000937 |
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Entity Name | Chestnut Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20201008002798 |
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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 Moses Tabe Ambilichu 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 Moses Tabe Ambilichu, MD Po Box 716, Columbia, MO 65205-0716 Ph: (888) 595-5101 | Dr Moses Tabe Ambilichu, MD 10640 Business 21, Hillsboro, MO 63050-5039 Ph: (618) 877-4420 |
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