Dr Moses Young, MD is a medicare enrolled "Internal Medicine" physician in Fayette, Mississippi. His current practice location is
225 Community Drive, Fayette, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 786-3475.
Dr Moses Young is licensed to practice in Mississippi (license number 12329) 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 1124184031.
Physician's Profile
Full Name | Dr Moses Young |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 225 Community Drive, Fayette, Mississippi |
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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: 1124184031
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870725203
- Enrollment ID: I20140416002193
Medical Identifiers
Medical identifiers for Dr Moses Young such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124184031 | NPI | - | NPPES |
0015034 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 12329 (Mississippi) | 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 Moses Young allows following entities to bill medicare on his behalf.
Entity Name | Jefferson Comprehensive Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962517185 PECOS PAC ID: 0345248100 Enrollment ID: O20140416001171 |
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Entity Name | Sisters In Birth, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710341771 PECOS PAC ID: 7416366513 Enrollment ID: O20210430001428 |
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Entity Name | Healsafe Wound Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750063848 PECOS PAC ID: 0042668659 Enrollment ID: O20231120003664 |
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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 Moses Young 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 Moses Young, MD 106 Brandi Ln, Vicksburg, MS 39183-7416 Ph: (601) 786-3475 | Dr Moses Young, MD 225 Community Drive, Fayette, MS 39069 Ph: (601) 786-3475 |
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