Dr Walter Carl Moses Iii, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" physician in Greenwood, Mississippi. His current practice location is
202 W Park Ave, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 219-0044.
Dr Walter Carl Moses Iii is licensed to practice in Mississippi (license number 3793-15) 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 1770977134.
Physician's Profile
| Full Name | Dr Walter Carl Moses Iii |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 202 W Park Ave, Greenwood, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1770977134
- Provider Enumeration Date: 03/24/2015
- Last Update Date: 10/15/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325381502
- Enrollment ID: I20200402002396
Medical Identifiers
Medical identifiers for Dr Walter Carl Moses Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770977134 | NPI | - | NPPES |
| 07720764 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204E00000X | Oral & Maxillofacial Surgery | 3793-15 (Mississippi) | 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 Walter Carl Moses Iii allows following entities to bill medicare on his behalf.
| Entity Name | North Sunflower Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891705133
PECOS PAC ID: 7618932294
Enrollment ID: O20041123000318 |
|---|
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 Walter Carl Moses Iii 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 Walter Carl Moses Iii, DMD
622 County Road 190,
Greenwood, MS 38930-6980
Ph: (662) 299-0270 | Dr Walter Carl Moses Iii, DMD
202 W Park Ave,
Greenwood, MS 38930-3009
Ph: (662) 219-0044 |
Reviews and Comments