Mr Kenneth Allen Moberg, NURSE PRACTITIONER - Medicare Nurse Practitioner in New York, NY

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Mr Kenneth Allen Moberg, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. His current practice location is 121b West 20th Street, Village Diagnostic & Treatment Center, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 337-9290.

Mr Kenneth Allen Moberg is licensed to practice in New York (license number F302611-1) 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 1033379540.

Contact Information

Mr Kenneth Allen Moberg, NURSE PRACTITIONER
121b West 20th Street, Village Diagnostic & Treatment Center,
New York, NY 10011
(212) 337-9290
(212) 337-9275

Map and Direction




Provider's Profile

Full NameMr Kenneth Allen Moberg
GenderMale
SpecialityNurse Practitioner - Adult Health
Location121b West 20th Street, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033379540
  • Provider Enumeration Date: 06/10/2008
  • Last Update Date: 08/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3375691843
  • Enrollment ID: I20150106000037

Medical Identifiers

Medical identifiers for Mr Kenneth Allen Moberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033379540NPI-NPPES
03084613MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F302611-1 (New York)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. Mr Kenneth Allen Moberg allows following entities to bill medicare on his behalf.
Entity NameProject Renewal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598770018
PECOS PAC ID: 6901798651
Enrollment ID: O20040326001016
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NameQuality First Medical Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104163641
PECOS PAC ID: 5991928095
Enrollment ID: O20140519000084
Entity NameParcare Community Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730454083
PECOS PAC ID: 4981823390
Enrollment ID: O20140917002207
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameNorthern Medical House Calls Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427507771
PECOS PAC ID: 6002196250
Enrollment ID: O20161206001699

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. Mr Kenneth Allen Moberg 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 AddressPractice Location Address
Mr Kenneth Allen Moberg, NURSE PRACTITIONER
121b West 20th Street, Village Diagnostic & Treatment Center,
New York, NY 10011

Ph: (212) 337-9290		Mr Kenneth Allen Moberg, NURSE PRACTITIONER
121b West 20th Street, Village Diagnostic & Treatment Center,
New York, NY 10011

Ph: (212) 337-9290

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.