| Derrick Moss, ATC | |
|
208 8th St Sw, Orange City, IA 51041-9022 | |
| (712) 707-7287 | |
| Not Available |
| Full Name | Derrick Moss |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 208 8th St Sw, Orange City, Iowa |
| 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 |
|---|---|---|---|
| 1932598455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 001063 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orange City Area Health System | Orange city, IA | Hospital |
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Hawarden Regional Healthcare | Hawarden, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cnos Pc | 4284548942 | 98 |
| Cnos Pc | 4284548942 | 98 |
| Entity Name | Cnos PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031217000907 |
| Entity Name | Hawarden Regional Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841261104 PECOS PAC ID: 0547257990 Enrollment ID: O20040428000001 |
| Entity Name | Hawarden Regional Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841261104 PECOS PAC ID: 0547257990 Enrollment ID: O20081002000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Moss, ATC 508 Zuider Zee Dr Se, Orange City, IA 51041-1764 Ph: (712) 441-4018 | Derrick Moss, ATC 208 8th St Sw, Orange City, IA 51041-9022 Ph: (712) 707-7287 |
Kallie Lynne Van Kley, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 7th St Sw, Orange City, IA 51041 Phone: 712-707-7000 |
Lori L Anderson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se, Orange City, IA 51041 Phone: 712-737-2000 |
Gabriel Lorin Legner, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 311 2nd St Ne, Orange City, IA 51041 Phone: 605-499-8913 |
Christopher Steven Canu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 7th St Sw, Orange City, IA 51041 Phone: 712-707-7467 |
Jordan Grosdidier, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 7th St Sw, Orange City, IA 51041 Phone: 712-707-7000 |
Emily Bryna Smith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 15th St Se Apt 311, Orange City, IA 51041 Phone: 204-870-2490 |
Kaitlyn Waldner, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 7th St Sw, Orange City, IA 51041 Phone: 712-707-7000 |