Brandon Lee Mosely, AG-ACNP - Medicare Nurse Practitioner in Dayton, OH

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Brandon Lee Mosely, AG-ACNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Dayton, Ohio. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 5297 Grantland Dr, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 570-2292.

Brandon Lee Mosely is licensed to practice in Ohio (license number APRN.CNP026716) 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 1225669690.

Contact Information

Brandon Lee Mosely, AG-ACNP
5297 Grantland Dr,
Dayton, OH 45429-2126
(937) 570-2292
Not Available

Map and Direction




Provider's Profile

Full NameBrandon Lee Mosely
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location5297 Grantland Dr, Dayton, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Lee Mosely graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1225669690
  • Provider Enumeration Date: 02/03/2020
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779905617
  • Enrollment ID: I20200622002208

Medical Identifiers

Medical identifiers for Brandon Lee Mosely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225669690NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine RN.388552 (Ohio)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine APRN.CNP026716 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandon Lee Mosely allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameSouth Dayton Acute Care Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669442950
PECOS PAC ID: 3577452465
Enrollment ID: O20040310001218
Entity NamePremier Health Specialists Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194958223
PECOS PAC ID: 5597708594
Enrollment ID: O20050610000010
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Brandon Lee Mosely 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 AddressPractice Location Address
Brandon Lee Mosely, AG-ACNP
3535 Pentagon Blvd,
Beavercreek, OH 45431-1705

Ph: (937) 702-4450		Brandon Lee Mosely, AG-ACNP
5297 Grantland Dr,
Dayton, OH 45429-2126

Ph: (937) 570-2292

Reviews and Comments


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Phone: 937-438-5954    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.