| Dr Timothy Alan Moses, MD | |
|
550 Redstone Ave W Ste 370, Crestview, FL 32536-6429 | |
| (850) 423-9976 | |
| (850) 306-3767 |
| Full Name | Dr Timothy Alan Moses |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 40 Years |
| Location | 550 Redstone Ave W Ste 370, Crestview, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700846656 | NPI | - | NPPES |
| 790110W | Medicaid | NC | |
| 340013661 | Other | NC | RAILROAD MEDICARE |
| 8960187 | Medicaid | NC | |
| 0110W | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 9500670 (North Carolina) | Secondary |
| 208800000X | Urology | 17208 (South Carolina) | Secondary |
| 208800000X | Urology | ME144367 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Fort walton beach, FL | Home health agency |
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Baptist Hospital | Pensacola, FL | Hospital |
| Twin Cities Hospital | Niceville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Okaloosa Clinic Corp | 0244205565 | 24 |
| Entity Name | North Okaloosa Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659329852 PECOS PAC ID: 0244205565 Enrollment ID: O20040831000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Alan Moses, MD 550 Redstone Ave W Ste 370, Crestview, FL 32536-6429 Ph: (850) 423-9976 | Dr Timothy Alan Moses, MD 550 Redstone Ave W Ste 370, Crestview, FL 32536-6429 Ph: (850) 423-9976 |
Dr. Joseph William Pugh, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-605-0550 Fax: 850-605-0440 | |
Katerina Fagan, ACNPC-AG Urology Medicare: Accepting Medicare Assignments Practice Location: 435 Brookmeade Dr, Crestview, FL 32539 Phone: 850-605-0550 Fax: 850-605-0440 |