Marie Michele Moss

MD | Pediatric Critical Care Medicine | Female

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Complete Profile:

Marie Michele Moss basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Marie Michele Moss
Credential :	MD
Gender :	Female

Business Address:

Marie Michele Moss address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	800 Marshall St # 653 Little Rock, AR, 72202-3510 United States
Phone Number :	501-364-1100

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1285724849
NPI Entity Type :	Individual
First Enrolment Date :	13 Oct, 2006
Last Updated On :	31 Jul, 2008

Medicare Participation:

Marie Michele Moss participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5890862031
Medicare Enrollment ID :	I20080930000298
Primary Specialty :	Critical Care (intensivists)
Medical School :	University Of Texas Southwestern Medical School At Dallas
Graduation Year :	1979
Accepts Medicare?	Yes. Marie Michele Moss accepts medicare insurance.

Group Practice Association:

Marie Michele Moss is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Marie Michele Moss is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marie Michele Moss are as mentioned. Primary taxonomy code for Marie Michele Moss, MD is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	R-3540	AR
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	R-3540	AR

Legacy Identifiers:

Other legacy medical identifiers of Marie Michele Moss such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
110913001	MEDICAID	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	800 Marshall St # 653 Little Rock, AR, 72202-3510 United States
Phone Number :	501-364-1100

Business Location:

Patients can refer following map for directions to Marie Michele Moss practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.