Mr Jacob Wayne Moss, MD, JD is a medicare enrolled "General Practice" physician in Driggs, Idaho. His current practice location is
283 N 1st St, Driggs, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 354-2302.
Mr Jacob Wayne Moss is licensed to practice in Idaho (license number M-14547) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205179751.
Physician's Profile
| Full Name | Mr Jacob Wayne Moss |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 283 N 1st St, Driggs, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jacob Wayne Moss attended and graduated from in
NPI Data:
- NPI Number: 1205179751
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Jacob Wayne Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205179751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | TM190 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | M-14547 (Idaho) | 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. Mr Jacob Wayne Moss 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 |
|---|
Mr Jacob Wayne Moss, MD, JD
241 Harvard Ave,
Rexburg, ID 83440-2210
Ph: (208) 313-1438 | Mr Jacob Wayne Moss, MD, JD
283 N 1st St,
Driggs, ID 83422-5109
Ph: (208) 354-2302 |
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