Ethan Moss, in Clermont, FL - Medicare Nurse Practitioner

Ethan Moss, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clermont, Florida. His current practice location is 210 N Highway 27 Ste 4, Clermont, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 988-6673.

Ethan Moss is licensed to practice in Florida (license number 11034243) 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 1972336683.

Contact Information

	Ethan Moss,
	210 N Highway 27 Ste 4, Clermont, FL 34711-2411
	(352) 988-6673
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan Moss
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	210 N Highway 27 Ste 4, Clermont, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972336683
Provider Enumeration Date: 08/20/2024
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 2668912312
Enrollment ID: I20240909001532

Medical Identifiers

Medical identifiers for Ethan Moss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972336683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11034243 (Florida)	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. Ethan Moss allows following entities to bill medicare on his behalf.

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

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. Ethan Moss 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
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

Reviews and Comments

Nurse Practitioner Nurses in Clermont, FL

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: Medicare Enrolled Practice Location: 12629 Hwy 27, Clermont, FL 34711 Phone: 859-325-3059
Amber Lynn Reffitt, APRN Nurse Practitioner Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 15348 Margaux Dr, Clermont, FL 34714 Phone: 407-235-6467
Mr. Craig A Brady, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 Citrus Tower Blvd, Clermont, FL 34711 Phone: 352-259-2159 Fax: 352-259-5731

Ethan Moss, - Medicare Nurse Practitioner in Clermont, FL