Kenneth J Moran, DDS in Tuba City, AZ - Medicare Dentist Provider

Kenneth J Moran, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Tuba City, Arizona. His current practice location is 167 North Main Street, Tuba City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 283-2501.

Kenneth J Moran is licensed to practice in Arizona (license number 5577) 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 1548200256.

Contact Information

	Kenneth J Moran, DDS
	167 North Main Street, Tuba City, AZ 86045-0600
	(928) 283-2501
	(928) 283-2677

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth J Moran
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	167 North Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548200256
Provider Enumeration Date: 06/08/2006
Last Update Date: 05/25/2011

Medicare PECOS Information:

PECOS PAC ID: 8628083706
Enrollment ID: I20060210000092

Medical Identifiers

Medical identifiers for Kenneth J Moran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548200256	NPI	-	NPPES
422329	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5577 (Arizona)	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. Kenneth J Moran allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Kenneth J Moran 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
Kenneth J Moran, DDS Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501	Kenneth J Moran, DDS 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501

Reviews and Comments

Dentist in Tuba City, AZ

Dr. Kyle Minter Parks, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St., Tuba City, AZ 86045 Phone: 928-283-2672
Dr. Hannah Noel Despain, DMD Dentist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 502-851-2734
Ivan F Pacheco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Kristin Elizabeth Salamon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Robert A Palmer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Teresa Diane Kilborn, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2590 Fax: 928-283-2591
Christina L. Zeigler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N. Main St, Tuba City, AZ 86045 Phone: 928-283-2672 Fax: 928-283-2991

Kenneth J Moran, DDS - Medicare Dentist in Tuba City, AZ