Clint Cameron Moss, MD | |
815 Pecan Grove Rd E, Sherman, TX 75090-1768 | |
(903) 892-2126 | |
(903) 992-2129 |
Full Name | Clint Cameron Moss |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 16 Years |
Location | 815 Pecan Grove Rd E, Sherman, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578726352 | NPI | - | NPPES |
316328901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | P0769 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oliver Street 5.01(a) Inc | 0042464125 | 144 |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
Mailing Address | Practice Location Address |
---|---|
Clint Cameron Moss, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 | Clint Cameron Moss, MD 815 Pecan Grove Rd E, Sherman, TX 75090-1768 Ph: (903) 892-2126 |
Matthew Helm, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 | |
Mark David Koone, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 230 E Sycamore St Ste 305, Sherman, TX 75090 Phone: 903-771-4613 Fax: 903-698-6376 | |
Johnny Creed Stewart, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 815 Pecan Grove Rd E, Sherman, TX 75090 Phone: 903-892-2126 Fax: 903-892-2129 |