Bretton Moosman, is a
Occupational Therapist - Pediatrics based in Rigby, Idaho. Bretton Moosman is licensed to practice in * (Not Available) (license number ) and his current practice location is
152 E Main St Ste 110, Rigby, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 745-7101.
NPI number for Bretton Moosman is 1154079598 and his current mailing address is 1460 Elk Creek Dr, Idaho Falls, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154079598.
Healthcare Provider's Profile
| Full Name | Bretton Moosman |
|---|
| Gender | Male |
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| Speciality | Occupational Therapist - Pediatrics |
|---|
| Location | 152 E Main St Ste 110, Rigby, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154079598
- Provider Enumeration Date: 03/15/2022
- Last Update Date: 03/15/2022
Medical Identifiers
Medical identifiers for Bretton Moosman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154079598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | 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. Bretton Moosman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bretton Moosman,
1460 Elk Creek Dr,
Idaho Falls, ID 83404-8237
Ph: () - | Bretton Moosman,
152 E Main St Ste 110,
Rigby, ID 83442-5268
Ph: (208) 745-7101 |
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