Everett Gerald Moss Ii, CRNA in Spartanburg, SC - Medicare Nurse Anesthetist, Certified Registered

Everett Gerald Moss Ii, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Spartanburg, South Carolina. His current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-7571.

Everett Gerald Moss Ii is licensed to practice in South Carolina (license number 27845) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477231066.

Contact Information

	Everett Gerald Moss Ii, CRNA
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-7571
	Not Available

Map and Direction

Provider's Profile

Full Name	Everett Gerald Moss Ii
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	101 E Wood St, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477231066
Provider Enumeration Date: 07/05/2023
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8921036120
Enrollment ID: I20230918003545

Medical Identifiers

Medical identifiers for Everett Gerald Moss Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477231066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	247828 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	27845 (South Carolina)	Primary

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. Everett Gerald Moss Ii allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021

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. Everett Gerald Moss Ii 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
Everett Gerald Moss Ii, CRNA Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838	Everett Gerald Moss Ii, CRNA 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-7571

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Spartanburg, SC

Adam Raynes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000
Christin Bailey Coggins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023
Melissa E Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122
Charity Michelle Taylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023
Mr. Richard Niles Vaught, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000
Mrs. Lori Saxon Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 Fax: 864-560-6276
Seth Tyler House, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122

Everett Gerald Moss Ii, CRNA - Medicare Nurse Anesthetist, Certified Registered in Spartanburg, SC