Henry Edward Moeller, MD is a medicare enrolled "Anesthesiology" physician in Shelbyville, Kentucky. His current practice location is
727 Hospital Dr, Shelbyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 647-4085.
Henry Edward Moeller is licensed to practice in Kentucky (license number 37945) 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 1053356170.
Physician's Profile
| Full Name | Henry Edward Moeller |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 727 Hospital Dr, Shelbyville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053356170
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 05/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 6709854425
- Enrollment ID: I20040921000599
Medical Identifiers
Medical identifiers for Henry Edward Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053356170 | NPI | - | NPPES |
| 64065147 | Medicaid | KY | |
| 200438870A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 37945 (Kentucky) | 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. Henry Edward Moeller allows following entities to bill medicare on his behalf.
| Entity Name | University Of Louisville Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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. Henry Edward 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 |
|---|
Henry Edward Moeller, MD
100 E Liberty St Ste 800,
Louisville, KY 40202-1428
Ph: (502) 647-4085 | Henry Edward Moeller, MD
727 Hospital Dr,
Shelbyville, KY 40065
Ph: (502) 647-4085 |
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