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IndividualActiveMedicare EnrolledCan Order/Refer

Mr. Jacob Wayne Moss

M.D., J.D.

General Practice

NPI: 1205179751Saint Anthony, Idaho, 83445(208) 356-4900Male

About Mr. Jacob Wayne Moss

Mr. Jacob Wayne Moss, M.D., J.D., is a male healthcare professional specializing in General Practice, registered under National Provider Identifier (NPI) number 1205179751. Mr. Jacob Wayne Moss received his medical education at SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, graduating in 2013.

Their primary practice is located at 335 E MAIN ST STE 1, Saint Anthony, Idaho 83445. Patients can reach the office at (208) 356-4900. In addition to the primary location, Mr. Jacob Wayne Moss maintains 1 additional practice location.

Mr. Jacob Wayne Moss is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Mr. Jacob Wayne Moss has been NPI-registered since 2013.

Key Metrics

Rx Claims

877

$33,210.70

Opioid Rate

1.4%

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1205179751
Entity Type
Individual
First Name
Jacob
Last Name
Moss
Credential
M.D., J.D.
Gender
Male
Medical School
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2013
Sole Proprietor
No
Status
active

Primary Practice Location

Address
335 E MAIN ST STE 1
City
Saint Anthony
State
Idaho
ZIP
83445-1546
Country
United States
Phone
(208) 356-4900
Fax
(208) 624-4116

Specialty & Taxonomy

Primary Specialty
General Practice
Classification
General Practice
Taxonomy Code
208D00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 18
City
SAINT ANTHONY
State
ID
ZIP
834450018

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Jacob Wayne Moss's NPI number?
Mr. Jacob Wayne Moss's National Provider Identifier (NPI) is 1205179751. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Jacob Wayne Moss specialize in?
Mr. Jacob Wayne Moss specializes in General Practice. They received their medical education at SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE (class of 2013).
Where is Mr. Jacob Wayne Moss located?
Mr. Jacob Wayne Moss practices at 335 E MAIN ST STE 1, Saint Anthony, Idaho 83445. You can reach them by phone at (208) 356-4900. They also have 1 additional practice location.
Does Mr. Jacob Wayne Moss accept Medicare?
Yes, Mr. Jacob Wayne Moss is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Jacob Wayne Moss offer telehealth or virtual visits?
Mr. Jacob Wayne Moss does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Jacob Wayne Moss is 1205179751.