Dr Louis A Musso, DO is a medicare enrolled "Surgery" physician in Fort Mohave, Arizona. His current practice location is
1520 E Hammer Ln, Suite 104, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 768-1200.
Dr Louis A Musso is licensed to practice in Arizona (license number 5566) 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 1073512976.
Physician's Profile
| Full Name | Dr Louis A Musso |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1520 E Hammer Ln, Fort Mohave, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073512976
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 07/26/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931093200
- Enrollment ID: I20080313000469
Medical Identifiers
Medical identifiers for Dr Louis A Musso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073512976 | NPI | - | NPPES |
| 089437 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 49240 (Wisconsin) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 49240 (Wisconsin) | Secondary |
| 208600000X | Surgery | 5566 (Arizona) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 5566 (Arizona) | Secondary |
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 Louis A Musso allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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 Louis A Musso 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 Louis A Musso, DO
1520 E Hammer Ln, Ste. 104,
Fort Mohave, AZ 86426-6664
Ph: (928) 768-1200 | Dr Louis A Musso, DO
1520 E Hammer Ln, Suite 104,
Fort Mohave, AZ 86426-6664
Ph: (928) 768-1200 |
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