Dr Keith J Moll, MD in Saint Charles, MO

Dr Keith J Moll, MD is a medicare enrolled "Pediatrics" physician in Saint Charles, Missouri. His current practice location is 711 Veterans Memorial Pkwy Ste 200, Saint Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 669-2443.

Dr Keith J Moll is licensed to practice in Missouri (license number R3K13) 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 1225090756.

Contact Information

	Dr Keith J Moll, MD
	711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106
	(636) 669-2443
	(636) 669-2390

Map and Direction

Physician's Profile

Full Name	Dr Keith J Moll
Gender	Male
Speciality	Pediatrics
Location	711 Veterans Memorial Pkwy Ste 200, Saint Charles, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225090756
Provider Enumeration Date: 04/03/2006
Last Update Date: 06/30/2017

Medicare PECOS Information:

PECOS PAC ID: 6305081225
Enrollment ID: I20130326000162

Medical Identifiers

Medical identifiers for Dr Keith J Moll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225090756	NPI	-	NPPES
202808200	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R3K13 (Missouri)	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 Keith J Moll allows following entities to bill medicare on his behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

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 Keith J Moll 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 Keith J Moll, MD 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106 Ph: (636) 669-2243	Dr Keith J Moll, MD 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303-2106 Ph: (636) 669-2443

Reviews and Comments

Pediatrics Doctors in Saint Charles, MO

Dr. Jenny Lynn Miele, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208
Dr. Erin Elizabeth Casey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208
Dr. Nadira Adil, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1551 Wall St, 4th Floor, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2401
Dr. Fariba Azarpour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Veterans Memorial Pkwy Ste 200, Saint Charles, MO 63303 Phone: 636-669-2443 Fax: 636-669-2390
Dr. Andrea Cohron Orr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Garvey Pkwy, Saint Charles, MO 63303 Phone: 636-441-7280 Fax: 636-939-9208
Mary Joanna Petruska-nordmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 1st Capitol Dr, Saint Charles, MO 63301 Phone: 636-947-5000

Dr Keith J Moll, MD - Medicare Pediatrics in Saint Charles, MO