Haley Moss, is a medicare enrolled "Nurse Practitioner - Family" physician in Poplar Bluff, Missouri. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermatology Office Pc, Dermatology Office Pc and her current practice location is
225 Physicians Park Ste 304, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 686-4750.
Haley Moss is licensed to practice in Missouri (license number 2021029674) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811668460.
Physician's Profile
Full Name | Haley Moss |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 225 Physicians Park Ste 304, Poplar Bluff, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Haley Moss graduated from medical school in 2021
NPI Data:
- NPI Number: 1811668460
- Provider Enumeration Date: 09/23/2021
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426447996
- Enrollment ID: I20211123001117
Medical Identifiers
Medical identifiers for Haley Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811668460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 2021029674 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2021029674 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2021029674 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Dermatology Office Pc | 0244392009 | 8 |
Dermatology Office Pc | 0244392009 | 8 |
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. Haley Moss allows following entities to bill medicare on her behalf.
Entity Name | Dermatology Office Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043462591 PECOS PAC ID: 0244392009 Enrollment ID: O20090105000113 |
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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. Haley 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 Address | Practice Location Address |
Haley Moss, 3969 Highway T, Poplar Bluff, MO 63901-7554 Ph: () - | Haley Moss, 225 Physicians Park Ste 304, Poplar Bluff, MO 63901-3930 Ph: (573) 686-4750 |
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