| Joseph Franklin Moss, PA | |
|
1801 N Dickinson Dr, Rusk, TX 75785-1264 | |
| (903) 683-3600 | |
| (903) 683-3692 |
| Full Name | Joseph Franklin Moss |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1801 N Dickinson Dr, Rusk, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265469829 | NPI | - | NPPES |
| 183065501 | Medicaid | TX | |
| 970018502 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02968 (Texas) | Primary |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Entity Name | UT East Texas Urgent Care Centers, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356974281 PECOS PAC ID: 7517385388 Enrollment ID: O20200910000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Franklin Moss, PA Po Box 9477, Tyler, TX 75711-9477 Ph: (903) 594-2450 | Joseph Franklin Moss, PA 1801 N Dickinson Dr, Rusk, TX 75785-1264 Ph: (903) 683-3600 |
Mr. Jeffrey Russell Copeland, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 379 Fm 2972 W, Rusk, TX 75785 Phone: 903-683-5781 |