Dr Eduardo P Moreno, MD is a medicare enrolled "Family Medicine" physician in Crystal City, Texas. His current practice location is
210 S Avenue C, Crystal City, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 374-2952.
Dr Eduardo P Moreno is licensed to practice in Texas (license number E-3738) 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 1629140306.
Physician's Profile
| Full Name | Dr Eduardo P Moreno |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 210 S Avenue C, Crystal City, Texas |
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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: 1629140306
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 09/25/2007
Medicare PECOS Information:
- PECOS PAC ID: 4587797097
- Enrollment ID: I20130205000279
Medical Identifiers
Medical identifiers for Dr Eduardo P Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629140306 | NPI | - | NPPES |
| 063386901 | Medicaid | TX | |
| 017498901 | Other | TX | TEXAS HEALTH STEPS |
| 00BT71 | Other | TX | BLUE CROSS BLUE SHEILD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | E-3738 (Texas) | Secondary |
| 207Q00000X | Family Medicine | E-3738 (Texas) | 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. Dr Eduardo P Moreno 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 |
|---|
Dr Eduardo P Moreno, MD
210 S Avenue C, P.o. Box 725,
Crystal City, TX 78839-3834
Ph: (830) 374-2952 | Dr Eduardo P Moreno, MD
210 S Avenue C,
Crystal City, TX 78839-3834
Ph: (830) 374-2952 |
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