Ronald Moos, DDS is a
Dentist based in Campbellsport, Wisconsin. Ronald Moos is licensed to practice in Wisconsin (license number 0445G) and his current practice location is
130 N Fond Du Lac Ave, Campbellsport, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 533-8512.
NPI number for Ronald Moos is 1972649952 and his current mailing address is 328 Frances Avenue, Campbellsport, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972649952.
Healthcare Provider's Profile
Full Name | Ronald Moos |
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Gender | Male |
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Speciality | Dentist |
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Location | 130 N Fond Du Lac Ave, Campbellsport, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972649952
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ronald Moos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972649952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 0445G (Wisconsin) | Primary |
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. Ronald Moos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ronald Moos, DDS 328 Frances Avenue, Campbellsport, WI 53010-0739 Ph: () - | Ronald Moos, DDS 130 N Fond Du Lac Ave, Campbellsport, WI 53010-0739 Ph: (920) 533-8512 |
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