Dr Jack Ellis Moseley Jr, MD in Enid, OK - Medicare Internal Medicine

Dr Jack Ellis Moseley Jr, MD is a medicare enrolled "Internal Medicine" physician in Enid, Oklahoma. His current practice location is 2600 E Willow Rd, Northern Oklahoma Resource Center, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 213-2700.

Dr Jack Ellis Moseley Jr is licensed to practice in Oklahoma (license number 20477) 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 1558438887.

Contact Information

	Dr Jack Ellis Moseley Jr, MD
	2600 E Willow Rd, Northern Oklahoma Resource Center, Enid, OK 73701-8715
	(580) 213-2700
	(580) 548-2647

Physician's Profile

Full Name	Dr Jack Ellis Moseley Jr
Gender	Male
Speciality	Internal Medicine
Location	2600 E Willow Rd, Enid, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558438887
Provider Enumeration Date: 11/30/2006
Last Update Date: 08/26/2009

Medicare PECOS Information:

PECOS PAC ID: 0143260877
Enrollment ID: I20170307002213

Medical Identifiers

Medical identifiers for Dr Jack Ellis Moseley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558438887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20477 (Oklahoma)	Primary
208000000X	Pediatrics	20477 (Oklahoma)	Secondary

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 Jack Ellis Moseley Jr 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
Dr Jack Ellis Moseley Jr, MD 2600 E. Willow, Northern Oklahoma Resource Center, Enid, OK 73701-8715 Ph: (580) 213-2700	Dr Jack Ellis Moseley Jr, MD 2600 E Willow Rd, Northern Oklahoma Resource Center, Enid, OK 73701-8715 Ph: (580) 213-2700

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Internal Medicine Doctors in Enid, OK

Daniel Dean Washburn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 E Oklahoma Ave Ste 208, Enid, OK 73701 Phone: 580-242-3090 Fax: 580-234-2090
Dr. Brian D. Whitson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St, Suite 209, Enid, OK 73701 Phone: 580-213-9741 Fax: 580-213-9740
Dr. Charles Lawrence Cannon, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1218 W Willow, Ste A, Enid, OK 73703 Phone: 580-233-2176 Fax: 580-233-2179
Sarah Beth Matousek-fraser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Madison St Ste 209, Enid, OK 73701 Phone: 580-977-1864 Fax: 580-977-1865
Christopher A Shearer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 E Garriott Rd, Suite C, Enid, OK 73701 Phone: 580-234-6425 Fax: 580-234-5176
David James Shepherd Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 W Broadway Ave Ste D, Enid, OK 73701 Phone: 580-237-0322 Fax: 580-233-0402
Sumbal Nabi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Monroe St, Enid, OK 73701 Phone: 580-977-1950 Fax: 580-977-1949

Dr Jack Ellis Moseley Jr, MD - Medicare Internal Medicine in Enid, OK