Dr John David Moffat, MD is a medicare enrolled "Surgery" physician in Gaylord, Michigan. He graduated from medical school in 1976 and has 48 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mackinac Straits Health System Inc and his current practice location is
829 N Center Ave, Suite 120, Gaylord, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 731-7987.
Dr John David Moffat is licensed to practice in Michigan (license number 4301070842) 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 1053373118.
Physician's Profile
| Full Name | Dr John David Moffat |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 48 Years |
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| Location | 829 N Center Ave, Gaylord, Michigan |
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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 John David Moffat graduated from medical school in 1976
NPI Data:
- NPI Number: 1053373118
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 12/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 4385684257
- Enrollment ID: I20070927000713
Medical Identifiers
Medical identifiers for Dr John David Moffat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053373118 | NPI | - | NPPES |
| 5217440 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 4301070842 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mackinac Straits Health System Inc | 1456420876 | 30 |
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 John David Moffat allows following entities to bill medicare on his behalf.
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164628426
PECOS PAC ID: 8325942535
Enrollment ID: O20040305000525 |
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| Entity Name | Mackinac Straits Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659536035
PECOS PAC ID: 1456420876
Enrollment ID: O20080930000157 |
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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 John David Moffat 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 |
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Dr John David Moffat, MD
271 Mccoy Rd W,
Gaylord, MI 49735-8253
Ph: (989) 731-7708 | Dr John David Moffat, MD
829 N Center Ave, Suite 120,
Gaylord, MI 49735-1595
Ph: (989) 731-7987 |
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