Matthew C Moss, MD | |
501 Marshall St Ste 301, Jackson, MS 39202-1687 | |
(601) 353-9900 | |
(601) 353-3654 |
Full Name | Matthew C Moss |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 7 Years |
Location | 501 Marshall St Ste 301, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710418546 | NPI | - | NPPES |
06152598 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 29978 (Mississippi) | Primary |
208800000X | Urology | 39978 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Baptist Medical Center Attala | Kosciusko, MS | Hospital |
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mississippi Urology Clinic Pllc | 6406830942 | 12 |
Entity Name | Mississippi Urology Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902837313 PECOS PAC ID: 6406830942 Enrollment ID: O20040614001229 |
Entity Name | Mississippi Urology Outpatient Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1548655053 PECOS PAC ID: 4284936790 Enrollment ID: O20151230000237 |
Mailing Address | Practice Location Address |
---|---|
Matthew C Moss, MD 501 Marshall St Ste 301, Jackson, MS 39202-1687 Ph: (013) 539-9006 | Matthew C Moss, MD 501 Marshall St Ste 301, Jackson, MS 39202-1687 Ph: (601) 353-9900 |
Robert Tramel, Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 769-798-4747 | |
Dr. Mark Runnels, Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Ste 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Dr. Michael Tyler Wood, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5101 | |
Dr. Kieran Hynes, MD Urology Medicare: Medicare Enrolled Practice Location: 501 Marshall St Ste 301, Jackson, MS 39202 Phone: 601-353-9900 | |
Ronald D Davis, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr, Suite 360, Jackson, MS 39216 Phone: 601-200-4370 Fax: 601-200-4375 | |
Joe R. Ross, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1421 N State St, Suite 403, Jackson, MS 39202 Phone: 601-353-9900 Fax: 601-353-3654 | |
Deep Asit Gandhi, MD Urology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 |