Dr Jeremy Ethan Moss, MD, PHD - Medicare Dermatology in Bridgeport, CT

  1. Home
  2. Dermatology
  3. CT
  4. Bridgeport
Dr Jeremy Ethan Moss, MD, PHD is a medicare enrolled "Dermatology" physician in Bridgeport, Connecticut. He went to New York University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Integrated Dermatology Of Clinton,llc, Integrated Dermatology Of Waterbury Llc and his current practice location is 4639 Main St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 374-5546.

Dr Jeremy Ethan Moss is licensed to practice in Connecticut (license number 043137) 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 1689625188.

Contact Information

Dr Jeremy Ethan Moss, MD, PHD
4639 Main St,
Bridgeport, CT 06606-1838
(203) 374-5546
(203) 371-4056

Map and Direction




Physician's Profile

Full NameDr Jeremy Ethan Moss
GenderMale
SpecialityDermatology
Experience23 Years
Location4639 Main St, Bridgeport, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeremy Ethan Moss attended and graduated from New York University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1689625188
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 02/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8123057205
  • Enrollment ID: I20050809000663

Medical Identifiers

Medical identifiers for Dr Jeremy Ethan Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689625188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 043137 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Dermatology Of Clinton,llc74162573816
Integrated Dermatology Of Waterbury Llc91334676656

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 Jeremy Ethan Moss allows following entities to bill medicare on his behalf.
Entity NameIntegrated Dermatology Of Clinton,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457728883
PECOS PAC ID: 7416257381
Enrollment ID: O20151125000408
Entity NameIntegrated Dermatology Of Waterbury Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588136220
PECOS PAC ID: 9133467665
Enrollment ID: O20190208000034

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 Jeremy Ethan Moss 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 AddressPractice Location Address
Dr Jeremy Ethan Moss, MD, PHD
4639 Main St,
Bridgeport, CT 06606-1838

Ph: (203) 374-5546		Dr Jeremy Ethan Moss, MD, PHD
4639 Main St,
Bridgeport, CT 06606-1838

Ph: (203) 374-5546

Reviews and Comments


Dermatology Doctors in Bridgeport, CT

Dr. Kenneth Joseph Maiocco, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4639 Main St, Bridgeport, CT 06606
Phone: 203-374-5546    Fax: 203-371-4056
Dr. Edward Isaac Herman, M.D., PH.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2800 Main St, Bridgeport, CT 06606
Phone: 203-576-6000    
Joseph Raymond Pesce, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606
Phone: 203-372-8949    Fax: 203-374-9296
Dr. Katherine Jane Pesce, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4699 Main St, Suite 212, Bridgeport, CT 06606
Phone: 203-372-8949    Fax: 203-372-9296

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.