Dr Edward Sidney Moak, MD is a medicare enrolled "Internal Medicine" physician in Monticello, Mississippi. His current practice location is
1167 E Broad St, Monticello, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 587-1433.
Dr Edward Sidney Moak is licensed to practice in Mississippi (license number 09304) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437266384.
Physician's Profile
| Full Name | Dr Edward Sidney Moak |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1167 E Broad St, Monticello, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Edward Sidney Moak attended and graduated from in
NPI Data:
- NPI Number: 1437266384
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Edward Sidney Moak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437266384 | NPI | - | NPPES |
| 00010333 | Medicaid | MS | |
| MS09304 | Other | MS | UPIN BLUE CROSS |
| 060039545 | Other | MS | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 09304 (Mississippi) | 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 Edward Sidney Moak 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 Edward Sidney Moak, MD
Po Box 490,
Mccomb, MS 39649-0490
Ph: (601) 250-4366 | Dr Edward Sidney Moak, MD
1167 E Broad St,
Monticello, MS 39654-7682
Ph: (601) 587-1433 |
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