| Ethan Moss, | |
|
210 N Highway 27 Ste 4, Clermont, FL 34711-2411 | |
| (352) 988-6673 | |
| Not Available |
| Full Name | Ethan Moss |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 210 N Highway 27 Ste 4, Clermont, Florida |
| 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 |
|---|---|---|---|
| 1972336683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11034243 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Life Counseling Center | 0648623835 | 12 |
| Entity Name | Family Life Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033665260 PECOS PAC ID: 0648623835 Enrollment ID: O20240124000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Moss, 210 N Highway 27 Ste 4, Clermont, FL 34711-2411 Ph: () - | Ethan Moss, 210 N Highway 27 Ste 4, Clermont, FL 34711-2411 Ph: (352) 988-6673 |
Carrie E Verhoff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 706 E Grand Hwy, Clermont, FL 34711 Phone: 352-557-4965 Fax: 352-404-6955 | |
Haley B Stinson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-4071 | |
Stacy Renee Felix, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12629 Hwy 27, Clermont, FL 34711 Phone: 859-325-3059 | |
Sherrie Kay O'neal, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Highway 50, Clermont, FL 34711 Phone: 352-243-7030 | |
Amber Lynn Reffitt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3121 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-404-5968 | |
Shannon Boston, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19225 Us Highway 27, Clermont, FL 34715 Phone: 352-394-6146 | |
Kevin M Ramos Rosado, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15348 Margaux Dr, Clermont, FL 34714 Phone: 407-235-6467 |