| Dr Pat L Moss, OD | |
|
215 E Chestnut St, Corydon, IN 47112 | |
| (812) 738-2278 | |
| (812) 738-1167 |
| Full Name | Dr Pat L Moss |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 215 E Chestnut St, Corydon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639122252 | NPI | - | NPPES |
| 000000076009 | Other | IN | BCBS PIN |
| 410002883 | Other | IN | RR MEDICARE PIN |
| 100153090A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001563A (Indiana) | Primary |
| 152W00000X | Optometrist | 18001563B (Indiana) | Secondary |
| Provider Name | Eye Associates Of Southern Indiana Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336219922 PECOS PAC ID: 4183688310 Enrollment ID: O20050303000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pat L Moss, OD 215 E Chestnut St, Corydon, IN 47112-1107 Ph: (812) 738-2278 | Dr Pat L Moss, OD 215 E Chestnut St, Corydon, IN 47112 Ph: (812) 738-2278 |
Mrs. Jennifer Lynn Kellems, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 849 Pacer Dr Nw, Corydon, IN 47112 Phone: 812-738-2278 | |
Julie S. Didat O.d P.s.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Edsel Ln Nw, Corydon, IN 47112 Phone: 812-738-1707 Fax: 812-738-9054 | |
Dr. Maleah E Stroud, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 849 Pacer Dr Nw, Corydon, IN 47112 Phone: 812-738-2278 | |
Ms. Julie S Didat, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2127 Edsel Ln Nw, Corydon, IN 47112 Phone: 812-738-1707 Fax: 812-738-9054 | |
Natalie Katt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 E Chestnut St, Corydon, IN 47112 Phone: 812-738-2278 |