Jonathan Matthew Moldovan, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rock Creek, Ohio. His current practice location is
2863 State Route 45 N, Rock Creek, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 563-3400.
Jonathan Matthew Moldovan is licensed to practice in Ohio (license number APRN.CNP.0032562) 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 1629785761.
Provider's Profile
Full Name | Jonathan Matthew Moldovan |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 2863 State Route 45 N, Rock Creek, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629785761
- Provider Enumeration Date: 10/28/2022
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002284668
- Enrollment ID: I20221201002960
Medical Identifiers
Medical identifiers for Jonathan Matthew Moldovan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629785761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0032562 (Ohio) | 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. Jonathan Matthew Moldovan allows following entities to bill medicare on his behalf.
Entity Name | Ashtabula County Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
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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. Jonathan Matthew Moldovan 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 |
Jonathan Matthew Moldovan, CNP Po Box 298, Rock Creek, OH 44084-0298 Ph: (440) 563-3400 | Jonathan Matthew Moldovan, CNP 2863 State Route 45 N, Rock Creek, OH 44084-9352 Ph: (440) 563-3400 |
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