Dr Mark A Moen, OD | |
404 Hwy 2 East, Devils Lake, ND 58301-0130 | |
(701) 662-4085 | |
(701) 662-6685 |
Full Name | Dr Mark A Moen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 404 Hwy 2 East, Devils Lake, North Dakota |
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 |
---|---|---|---|
1124124623 | NPI | - | NPPES |
450433379000 | Other | ND | WORKERS SAFETY AND COMP |
800441 | Other | ND | ND VISION SERVICES |
8844 | Other | ND | BS OF NORTH DAKOTA |
CI2649 | Other | ND | PALMETTO GBA - RAILROAD MEDICARE |
0311120001 | Other | ND | CIGNA MEDICARE SERVICE |
60342 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 441 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drs Moen Enderle And Krein Pc | 9638072440 | 4 |
Provider Name | Drs Moen Enderle And Krein Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265539639 PECOS PAC ID: 9638072440 Enrollment ID: O20040129000583 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark A Moen, OD Po Box 130, Devils Lake, ND 58301-0130 Ph: (701) 662-4085 | Dr Mark A Moen, OD 404 Hwy 2 East, Devils Lake, ND 58301-0130 Ph: (701) 662-4085 |
Blaine Landon Burdick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 4th St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-2817 Fax: 701-662-2040 | |
Drs Moen Enderle And Krein Pc Optometrist Medicare: Medicare Enrolled Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
Dr. Carey L Enderle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
20/20 Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 4th St Ne Ste 1, Devils Lake, ND 58301 Phone: 701-662-2040 Fax: 701-662-2040 | |
Dr. Kyle D Krein, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 404 Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 | |
Dr. Kaylin Elizabeth Johnston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 404- Hwy 2 East, Devils Lake, ND 58301 Phone: 701-662-4085 Fax: 701-662-6685 |