Kenneth Paul Moritsugu, MD, MPH is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Great Falls, Virginia. Kenneth Paul Moritsugu is licensed to practice in Maryland (license number D0027957) and his current practice location is 9561 Bell Dr, Great Falls, Virginia. He can be reached at his office (for appointments etc.) via phone at
(408) 726-1014.
NPI number for Kenneth Paul Moritsugu is 1104104611 and his current mailing address is 9561 Bell Dr, Great Falls, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104104611.
Physician's Profile
| Full Name | Kenneth Paul Moritsugu |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 9561 Bell Dr, Great Falls, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104104611
- Provider Enumeration Date: 08/01/2011
- Last Update Date: 08/01/2011
Medical Identifiers
Medical identifiers for Kenneth Paul Moritsugu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104104611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | D0027957 (Maryland) | Primary |
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. Kenneth Paul Moritsugu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Paul Moritsugu, MD, MPH
9561 Bell Dr,
Great Falls, VA 22066-3723
Ph: (408) 726-1014 | Kenneth Paul Moritsugu, MD, MPH
9561 Bell Dr,
Great Falls, VA 22066-3723
Ph: (408) 726-1014 |
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