Charles Allen Moss, MD is a medicare enrolled "Family Medicine" physician in La Jollaa, California. His current practice location is
8950 Villa La Jolla Drive, A217, La Jollaa, California. You can reach out to his office (for appointments etc.) via phone at
(858) 457-1314.
Charles Allen Moss is licensed to practice in California (license number G033632) 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 1215055207.
Physician's Profile
Full Name | Charles Allen Moss |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 8950 Villa La Jolla Drive, La Jollaa, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215055207
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799736021
- Enrollment ID: I20050203000860
Medical Identifiers
Medical identifiers for Charles Allen Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215055207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | G033632 (California) | 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. Charles Allen Moss 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 |
Charles Allen Moss, MD 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 Ph: (858) 457-1314 | Charles Allen Moss, MD 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 Ph: (858) 457-1314 |
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