Dr Mark Steven Moeller, DDS - Medicare Dentist in La Crosse, WI

Dr Mark Steven Moeller, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Dr Mark Steven Moeller is licensed to practice in Wisconsin (license number 1001156) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083895510.

Contact Information

Dr Mark Steven Moeller, DDS
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available



Healthcare Provider's Profile

Full NameDr Mark Steven Moeller
GenderMale
SpecialityDentist - Pediatric Dentistry
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083895510
  • Provider Enumeration Date: 11/27/2007
  • Last Update Date: 12/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779890892
  • Enrollment ID: I20150922000593

Medical Identifiers

Medical identifiers for Dr Mark Steven Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083895510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 09067 (Iowa)Secondary
122300000XDentist 1001156 (Wisconsin)Secondary
1223P0221XDentist - Pediatric Dentistry S25 (Minnesota)Secondary
1223P0221XDentist - Pediatric Dentistry 1001156 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Steven Moeller allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139

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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. Dr Mark Steven Moeller 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 AddressPractice Location Address
Dr Mark Steven Moeller, DDS
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300
Dr Mark Steven Moeller, DDS
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

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Dentist in La Crosse, WI

Dr. Gregory Cochrane, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3143 State Rd, Suite 100, La Crosse, WI 54601
Phone: 608-788-0030    
Dr. Heather Rose Reyerson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2505 Loomis St, La Crosse, WI 54603
Phone: 608-779-4313    
Ellyn M English, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Dr. Holly J Grimslid, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Main St, La Crosse, WI 54601
Phone: 608-782-6778    
Zachariah Scruggs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2830 Darling Ct, La Crosse, WI 54601
Phone: 608-783-7330    
Dr. Steven Allan Schmidt, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3143 State Rd, Suite 203, La Crosse, WI 54601
Phone: 608-788-3838    Fax: 608-788-9862
Dr. Yu Wen Lin, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    

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