John Michael Moos, MD in Los Angeles, CA - Medicare General Practice

John Michael Moos, MD is a medicare enrolled "General Practice" physician in Los Angeles, California. His current practice location is 4128 Kenyon Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (424) 415-9112.

John Michael Moos is licensed to practice in California (license number A106052) 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 1699920652.

Contact Information

	John Michael Moos, MD
	4128 Kenyon Ave, Los Angeles, CA 90066-5736
	(424) 415-9112
	(323) 300-2033

Map and Direction

Physician's Profile

Full Name	John Michael Moos
Gender	Male
Speciality	General Practice
Location	4128 Kenyon Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699920652
Provider Enumeration Date: 11/18/2008
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 0547394546
Enrollment ID: I20100812000577

Medical Identifiers

Medical identifiers for John Michael Moos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699920652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A106052 (California)	Secondary
208D00000X	General Practice	A106052 (California)	Primary
204F00000X	Transplant Surgery	A106052 (California)	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. John Michael Moos allows following entities to bill medicare on his behalf.

Entity Name	Acute Care Surgery Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355

Entity Name	Surgical Affiliates Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127

Entity Name	Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177

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. John Michael Moos 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
John Michael Moos, MD 4128 Kenyon Ave, Los Angeles, CA 90066-5736 Ph: (424) 415-9112	John Michael Moos, MD 4128 Kenyon Ave, Los Angeles, CA 90066-5736 Ph: (424) 415-9112

Reviews and Comments

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John Michael Moos, MD - Medicare General Practice in Los Angeles, CA