Andre Jean Mouledoux Jr, MD is a medicare enrolled "Emergency Medicine" physician in Murfressboro, Tennessee. His current practice location is
400 North Highland Ave, Middle Tennessee Medical Center, Murfressboro, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(410) 328-8025.
Andre Jean Mouledoux Jr is licensed to practice in Tennessee (license number 46042) 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 1265577084.
Physician's Profile
| Full Name | Andre Jean Mouledoux Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 400 North Highland Ave, Murfressboro, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265577084
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 05/05/2010
Medicare PECOS Information:
- PECOS PAC ID: 2466506878
- Enrollment ID: I20090820000025
Medical Identifiers
Medical identifiers for Andre Jean Mouledoux Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265577084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 46042 (Tennessee) | 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. Andre Jean Mouledoux Jr allows following entities to bill medicare on his behalf.
| Entity Name | East Jefferson Emergency Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639684061
PECOS PAC ID: 8325307937
Enrollment ID: O20180110000039 |
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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. Andre Jean Mouledoux Jr 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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Andre Jean Mouledoux Jr, MD
One Vantage Way, Suite B-240, Middle Tennessee Emergency Physicians, Pc,
Nashville, TN 37228-1562
Ph: (410) 328-8025 | Andre Jean Mouledoux Jr, MD
400 North Highland Ave, Middle Tennessee Medical Center,
Murfressboro, TN 37130
Ph: (410) 328-8025 |
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