Christopher Nic Moga, MD is a medicare enrolled "Obstetrics & Gynecology" physician in New Prague, Minnesota. His current practice location is
301 2nd St Ne, New Prague, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 758-9020.
Christopher Nic Moga is licensed to practice in Minnesota (license number 47997) 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 1922033539.
Physician's Profile
| Full Name | Christopher Nic Moga |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 301 2nd St Ne, New Prague, Minnesota |
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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: 1922033539
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 08/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668490707
- Enrollment ID: I20221025000470
Medical Identifiers
Medical identifiers for Christopher Nic Moga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922033539 | NPI | - | NPPES |
| 796156100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 47997 (Minnesota) | 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. Christopher Nic Moga allows following entities to bill medicare on his behalf.
| Entity Name | Upson Womens Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881842821
PECOS PAC ID: 3072679307
Enrollment ID: O20090311000342 |
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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. Christopher Nic Moga 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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Christopher Nic Moga, MD
301 2nd St Ne,
New Prague, MN 56071-1709
Ph: (952) 758-9020 | Christopher Nic Moga, MD
301 2nd St Ne,
New Prague, MN 56071-1709
Ph: (952) 758-9020 |
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