Dr Jefferson Eaddy Carter Moulds, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Onancock, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Maryland Oncology Hematology Pa and his current practice location is
20480 Market Street, Onancock, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 302-2600.
Dr Jefferson Eaddy Carter Moulds is licensed to practice in Virginia (license number 0101052934) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265420582.
Physician's Profile
| Full Name | Dr Jefferson Eaddy Carter Moulds |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 30 Years |
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| Location | 20480 Market Street, Onancock, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jefferson Eaddy Carter Moulds attended and graduated from Virginia Commonwealth University, School Of Medicine in 1994
NPI Data:
- NPI Number: 1265420582
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143306167
- Enrollment ID: I20080331000281
Medical Identifiers
Medical identifiers for Dr Jefferson Eaddy Carter Moulds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265420582 | NPI | - | NPPES |
| 1265420582 | Medicaid | VA | |
| 2176156 | Other | VA | MAMSI/UNITED HEALTHCARE |
| 342750 | Other | VA | ANTHEM BCBS |
| 9558847 | Other | VA | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | D50244 (Maryland) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 21925 (District Of Columbia) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 0101052934 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Maryland Oncology Hematology Pa | 2062302102 | 81 |
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 Jefferson Eaddy Carter Moulds allows following entities to bill medicare on his behalf.
| Entity Name | Maryland Oncology Hematology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821271032
PECOS PAC ID: 2062302102
Enrollment ID: O20071016000305 |
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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 Jefferson Eaddy Carter Moulds 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 |
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Dr Jefferson Eaddy Carter Moulds, MD
Po Box 430,
Onancock, VA 23417-0430
Ph: (757) 302-2600 | Dr Jefferson Eaddy Carter Moulds, MD
20480 Market Street,
Onancock, VA 23417-0430
Ph: (757) 302-2600 |
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