Kriegh P Moulton, MD - Medicare Internal Medicine in Santa Rosa, CA

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Kriegh P Moulton, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Santa Rosa, California. His current practice location is 3536 Mendocino Ave Ste 200, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 573-6166.

Kriegh P Moulton is licensed to practice in California (license number G159991) 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 1174605166.

Contact Information

Kriegh P Moulton, MD
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634
(707) 573-6166
(707) 573-6165

Map and Direction




Physician's Profile

Full NameKriegh P Moulton
GenderMale
SpecialityInternal Medicine - Clinical Cardiac Electrophysiology
Location3536 Mendocino Ave Ste 200, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174605166
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 11/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163315607
  • Enrollment ID: I20040206000633

Medical Identifiers

Medical identifiers for Kriegh P Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174605166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease G159991 (California)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology G159991 (California)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. Kriegh P Moulton allows following entities to bill medicare on his behalf.
Entity NamePrairie Cardiovascular Consultants Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659539559
PECOS PAC ID: 3173435880
Enrollment ID: O20031111000337
Entity NameSt Johns Hospital Of The Hospital Sisters Of The Third Order Of St F
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184606923
PECOS PAC ID: 9032028923
Enrollment ID: O20031118000887
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameHillsboro Area Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821078213
PECOS PAC ID: 4486547148
Enrollment ID: O20040205000911
Entity NameCommunity Hospital Of Staunton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750308631
PECOS PAC ID: 3274424031
Enrollment ID: O20040322001221
Entity NameSt Francis Hospital Sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326057076
PECOS PAC ID: 5890686562
Enrollment ID: O20040323000066
Entity NameThomas H Boyd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811096811
PECOS PAC ID: 8123085560
Enrollment ID: O20041216000800

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. Kriegh P Moulton 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 AddressPractice Location Address
Kriegh P Moulton, MD
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 573-6166		Kriegh P Moulton, MD
3536 Mendocino Ave Ste 200,
Santa Rosa, CA 95403-3634

Ph: (707) 573-6166

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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