Jacob Moussa, MD in Phoenix, AZ - Medicare Hospitalist

Jacob Moussa, MD is a medicare enrolled "Hospitalist" physician in Phoenix, Arizona. His current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 461-3976.

Jacob Moussa is licensed to practice in Arizona (license number 68896) 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 1578192506.

Contact Information

	Jacob Moussa, MD
	2601 E Roosevelt St, Phoenix, AZ 85008-4973
	(520) 461-3976
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Moussa
Gender	Male
Speciality	Hospitalist
Location	2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578192506
Provider Enumeration Date: 04/02/2020
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2668835893
Enrollment ID: I20230905003991

Medical Identifiers

Medical identifiers for Jacob Moussa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578192506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	68896 (Arizona)	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. Jacob Moussa allows following entities to bill medicare on his behalf.

Entity Name	Vituity - Arizona Hospitalists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770109704 PECOS PAC ID: 5395163745 Enrollment ID: O20200916002069

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. Jacob Moussa 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
Jacob Moussa, MD 4001 N 3rd St Ste 290, Phoenix, AZ 85012-2071 Ph: () -	Jacob Moussa, MD 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (520) 461-3976

Reviews and Comments

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Jacob Moussa, MD - Medicare Hospitalist in Phoenix, AZ