| Lewis M Moss, MD | |
|
364 Ocean Ave, Laguna Beach, CA 92651 | |
| (949) 557-0610 | |
| Not Available |
| Full Name | Lewis M Moss |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 364 Ocean Ave, Laguna Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568490332 | NPI | - | NPPES |
| 00C322980 | Medicaid | CA | |
| 00C322980 | Other | CA | BLUE SHIELD |
| C32298 | Other | CA | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | C32298 (California) | Primary |
| Entity Name | St Jude Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720190804 PECOS PAC ID: 8224923479 Enrollment ID: O20040217001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis M Moss, MD 364 Ocean Ave, Laguna Beach, CA 92651-2322 Ph: () - | Lewis M Moss, MD 364 Ocean Ave, Laguna Beach, CA 92651 Ph: (949) 557-0610 |
Susan K. Munden, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. Timothy Earl Korber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 825 Emerald Bay, Laguna Beach, CA 92651 Phone: 949-494-5154 | |
True Luu Mcmahan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 31872 South Coast Highway, Laguna Beach, CA 92651 Phone: 949-449-7193 | |
Michael George Bower, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 31872 Coast Hwy, Laguna Beach, CA 92651 Phone: 949-499-1311 | |
Dr. William Randolph Dodge Ii, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 705 Marlin, Laguna Beach, CA 92651 Phone: 760-409-1165 | |
Dr. William Carl Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 364 Ocean Avenue, Laguna Beach, CA 92651 Phone: 949-494-3740 |