Dr Pat L Moss, OD | |
215 E Chestnut St, Corydon, IN 47112 | |
(812) 738-2278 | |
(812) 738-1167 |
Full Name | Dr Pat L Moss |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 215 E Chestnut St, Corydon, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639122252 | NPI | - | NPPES |
000000076009 | Other | IN | BCBS PIN |
410002883 | Other | IN | RR MEDICARE PIN |
100153090A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18001563A (Indiana) | Primary |
152W00000X | Optometrist | 18001563B (Indiana) | Secondary |
Provider Name | Eye Associates Of Southern Indiana Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336219922 PECOS PAC ID: 4183688310 Enrollment ID: O20050303000562 |
Mailing Address | Practice Location Address |
---|---|
Dr Pat L Moss, OD 215 E Chestnut St, Corydon, IN 47112-1107 Ph: (812) 738-2278 | Dr Pat L Moss, OD 215 E Chestnut St, Corydon, IN 47112 Ph: (812) 738-2278 |
Mrs. Jennifer Lynn Kellems, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 849 Pacer Dr Nw, Corydon, IN 47112 Phone: 812-738-2278 | |
Julie S. Didat O.d P.s.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Edsel Ln Nw, Corydon, IN 47112 Phone: 812-738-1707 Fax: 812-738-9054 | |
Ms. Julie S Didat, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2127 Edsel Ln Nw, Corydon, IN 47112 Phone: 812-738-1707 Fax: 812-738-9054 | |
Natalie Katt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 E Chestnut St, Corydon, IN 47112 Phone: 812-738-2278 |