Mr Jacob Wayne Moss, MD, JD - Medicare General Practice in Driggs, ID

Mr Jacob Wayne Moss, MD, JD is a medicare enrolled "General Practice" physician in Driggs, Idaho. He went to Southern Illinois University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Teton Valley Health Care Inc and his current practice location is 283 N 1st St, Driggs, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 354-2302.

Mr Jacob Wayne Moss is licensed to practice in Idaho (license number M-14547) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205179751.

Contact Information

Mr Jacob Wayne Moss, MD, JD
283 N 1st St,
Driggs, ID 83422-5109
(208) 354-2302
(208) 354-8392



Physician's Profile

Full NameMr Jacob Wayne Moss
GenderMale
SpecialityGeneral Practice
Experience11 Years
Location283 N 1st St, Driggs, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob Wayne Moss attended and graduated from Southern Illinois University School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1205179751
  • Provider Enumeration Date: 04/03/2013
  • Last Update Date: 08/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042454159
  • Enrollment ID: I20191231002364

Medical Identifiers

Medical identifiers for Mr Jacob Wayne Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205179751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice TM190 (Georgia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208D00000XGeneral Practice M-14547 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Teton Valley HospitalDriggs, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Teton Valley Health Care Inc387074495629

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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. Mr Jacob Wayne Moss allows following entities to bill medicare on his behalf.
Entity NameTeton Valley Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013264183
PECOS PAC ID: 3870744956
Enrollment ID: O20121128000587

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Entity NameAaa American Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285979757
PECOS PAC ID: 5294037388
Enrollment ID: O20160106001786

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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. Mr Jacob Wayne Moss 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
Mr Jacob Wayne Moss, MD, JD
241 Harvard Ave,
Rexburg, ID 83440-2210

Ph: (208) 313-1438
Mr Jacob Wayne Moss, MD, JD
283 N 1st St,
Driggs, ID 83422-5109

Ph: (208) 354-2302

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General Practice Doctors in Driggs, ID

Lanie Benson,
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 460 N 3rd E, Driggs, ID 83422
Phone: 208-821-2141    

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