Dr Jacqueline Denise Moses, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Dewitt, Michigan. Her current practice location is
12508 Burlingame Dr, Dewitt, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 669-8110.
Dr Jacqueline Denise Moses is licensed to practice in Michigan (license number 4301080311) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699714279.
Physician's Profile
Full Name | Dr Jacqueline Denise Moses |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 12508 Burlingame Dr, Dewitt, Michigan |
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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: 1699714279
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426157033
- Enrollment ID: I20081223000566
Medical Identifiers
Medical identifiers for Dr Jacqueline Denise Moses such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699714279 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301080311 (Michigan) | 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. Dr Jacqueline Denise Moses allows following entities to bill medicare on her behalf.
Entity Name | Havenwyck Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053342220 PECOS PAC ID: 5799697603 Enrollment ID: O20170817000868 |
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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. Dr Jacqueline Denise Moses 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 Jacqueline Denise Moses, MD 12508 Burlingame Dr, Dewitt, MI 48820-7905 Ph: (517) 669-8110 | Dr Jacqueline Denise Moses, MD 12508 Burlingame Dr, Dewitt, MI 48820-7905 Ph: (517) 669-8110 |
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