Jonathan Brent Moss, MD | |
606 W 11th Ave, Covington, LA 70433-3630 | |
(985) 892-3766 | |
Not Available |
Full Name | Jonathan Brent Moss |
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Gender | Male |
Speciality | Surgery |
Location | 606 W 11th Ave, Covington, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447784103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 335264 (Louisiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275539363 PECOS PAC ID: 0749273761 Enrollment ID: O20040406000728 |
Mailing Address | Practice Location Address |
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Jonathan Brent Moss, MD 606 W 11th Ave, Covington, LA 70433-3630 Ph: (985) 892-3766 | Jonathan Brent Moss, MD 606 W 11th Ave, Covington, LA 70433-3630 Ph: (985) 892-3766 |
Mark Jason Dominguez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 W 11th Ave, Covington, LA 70433 Phone: 985-892-3766 Fax: 985-893-9567 | |
Dr. John H Verhulst, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 606 W 11th Ave, Covington, LA 70433 Phone: 985-892-3766 Fax: 985-893-9567 | |
Dr. Michael W Carpenter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 W 11th Ave, Covington, LA 70433 Phone: 985-892-3766 Fax: 985-893-9567 | |
Dr. Thomas E Lavin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7015 Hwy 190 E Serv Rd, Suite 200, Covington, LA 70433 Phone: 985-234-3000 Fax: 985-234-3002 | |
Mark Gregory Jones, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 606 W 11th Ave, Covington, LA 70433 Phone: 985-892-3766 Fax: 985-893-9567 | |
Marie Celeste Lagarde, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 110 Lakeview Dr, Suite 200, Covington, LA 70433 Phone: 985-898-0589 | |
Dr. Ali Khoobehi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 101 Judge Tanner Blvd Ste 300, Covington, LA 70433 Phone: 985-867-2100 Fax: 985-971-1548 |