Alvaro J Moreno Od Pc is a medicare enrolled "Clinic/center" provider in Petal, Mississippi. Their current practice location is
598 E Central Ave, Petal, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 450-3937.
Alvaro J Moreno Od Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Alvaro J Moreno Od Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013085935.
Healthcare Provider's Profile
Full Name | Alvaro J Moreno Od Pc |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 598 E Central Ave, Petal, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013085935
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426264490
- Enrollment ID: O20100930044404
Medical Identifiers
Medical identifiers for Alvaro J Moreno Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013085935 | NPI | - | NPPES |
08637209 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 610 (Mississippi) | Secondary |
261Q00000X | Clinic/center | (* (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. Alvaro J Moreno Od Pc 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 |
Alvaro J Moreno Od Pc 598 E Central Ave, Petal, MS 39465-2957 Ph: (601) 450-3937 | Alvaro J Moreno Od Pc 598 E Central Ave, Petal, MS 39465-2957 Ph: (601) 450-3937 |
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