Stephan Michael Moss, | |
600 W Hospital Rd, Brigham City, UT 84302-3006 | |
(435) 734-2041 | |
Not Available |
Full Name | Stephan Michael Moss |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 600 W Hospital Rd, Brigham City, Utah |
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 |
---|---|---|---|
1063906857 | NPI | - | NPPES |
10566698-4405 | Other | UT | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | 10566698-3102 (Utah) | Secondary |
363LF0000X | Nurse Practitioner - Family | 10566698-4405 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
Brigham City Community Hospital | Brigham city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brigham Medical Clinic, Inc. | 8628000809 | 5 |
Entity Name | Brigham Medical Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922119528 PECOS PAC ID: 8628000809 Enrollment ID: O20050908000720 |
Mailing Address | Practice Location Address |
---|---|
Stephan Michael Moss, 600 W Hospital Rd, Brigham City, UT 84302-3006 Ph: (435) 734-2041 | Stephan Michael Moss, 600 W Hospital Rd, Brigham City, UT 84302-3006 Ph: (435) 734-2041 |
Justin Michael Woodruff, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 663 Parker Lane, Brigham City, UT 84302 Phone: 435-734-9449 | |
Miranda Buttars, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1010 S Medical Dr, Brigham City, UT 84302 Phone: 435-310-5800 | |
Lindee P Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Hospital Rd, Brigham City, UT 84302 Phone: 435-734-2041 Fax: 435-723-8028 | |
Mr. Kirk Russell Waldron, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 S 200 E Ste 102, Brigham City, UT 84302 Phone: 801-513-9652 | |
Lynn C Larsen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 984 Medical Dr Ste 1, Brigham City, UT 84302 Phone: 435-723-5248 Fax: 435-723-5240 | |
Katie Marie Cummings, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 903 S Main St Ste A, Brigham City, UT 84302 Phone: 801-941-6770 | |
Julie C. Child, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 South Medical Drive, Ste 101, Brigham City, UT 84302 Phone: 435-538-1733 Fax: 435-538-1752 |