Kirk Tracy Moss, MD is a
Family Medicine physician based in Columbus Afb, Mississippi. Kirk Tracy Moss is licensed to practice in Alaska (license number 2838) and his current practice location is 14th Mdg, 201 Independence Dr, Columbus Afb, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 434-2273.
NPI number for Kirk Tracy Moss is 1396713194 and his current mailing address is 14th Mdg, 201 Independence Drive, Bldg 1100, Columbus Afb, Ms 39710, Fpo, Armed Forces Americas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396713194.
Physician's Profile
| Full Name | Kirk Tracy Moss |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 14th Mdg, Columbus Afb, Mississippi |
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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: 1396713194
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 10/21/2016
Medical Identifiers
Medical identifiers for Kirk Tracy Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396713194 | NPI | - | NPPES |
| A0348 | Other | | BLUE CROSS SUB |
| MD2838 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2838 (Alaska) | Primary |
| 207Q00000X | Family Medicine | 31364 (Arizona) | Secondary |
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. Kirk Tracy Moss 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 |
|---|
Kirk Tracy Moss, MD
14th Mdg, 201 Independence Drive, Bldg 1100, Columbus Afb, Ms 39710,
Fpo, AA 93246
Ph: (662) 434-39710 | Kirk Tracy Moss, MD
14th Mdg, 201 Independence Dr,
Columbus Afb, MS 39710
Ph: (662) 434-2273 |
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