Tamara Annell Moseley, DPM is a medicare enrolled "Podiatrist" provider in San Angelo, Texas. She went to Kent State University College Of Podiatric Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Shannon Clinic and her current practice location is
3555 Knickerbocker Rd, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at
(325) 658-1511.
Tamara Annell Moseley is licensed to practice in Texas (license number 2057) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245676469.
Healthcare Provider's Profile
| Full Name | Tamara Annell Moseley |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 14 Years |
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| Location | 3555 Knickerbocker Rd, San Angelo, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tamara Annell Moseley attended and graduated from Kent State University College Of Podiatric Medicine in 2010
NPI Data:
- NPI Number: 1245676469
- Provider Enumeration Date: 05/14/2013
- Last Update Date: 07/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759524218
- Enrollment ID: I20130830000724
Medical Identifiers
Medical identifiers for Tamara Annell Moseley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245676469 | NPI | - | NPPES |
| 2057 | Other | TX | STATE BOARD OF PODIATRIC MEDICAL EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 2057 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shannon Clinic | 0840103727 | 412 |
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. Tamara Annell Moseley allows following entities to bill medicare on her behalf.
| Provider Name | Shannon Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702 |
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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. Tamara Annell Moseley 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 |
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Tamara Annell Moseley, DPM
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
Ph: (210) 292-4939 | Tamara Annell Moseley, DPM
3555 Knickerbocker Rd,
San Angelo, TX 76904-7610
Ph: (325) 658-1511 |
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