JEFFREY MOSS PA
NPI 1306847249
Physician Assistant - Surgical in Hartford, CT

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
114 WOODLAND ST, DEPT OF SURGERY, HARTFORD, CT 06105(860) 714-4694(860) 714-8096 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeffrey Moss Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY MOSS PA (NPI 1306847249) is an individual surgical provider in Hartford, Connecticut, licensed in Connecticut (000079) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1306847249
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJEFFREY MOSSCredential: PA
Location Address114 WOODLAND ST, DEPT OF SURGERYHartford, CT 06105-1208
Mailing Address1000 Asylum Ave, Suite 2109aHartford, CT 06105-1770 · (860) 714-6581 · Fax (860) 714-8311
Fax(860) 714-8096
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 2, 2005
Last NPPES UpdateFebruary 27, 2009
NPI 1306847249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 000079
114 WOODLAND ST, Hartford, CT 06105

Other Identifiers 2

Medicare UPINS69359CT
Medicare ID-Type Unspecified970000522CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Moss Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325180797
PECOS Enrollment IDI20100122000533
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
114 WOODLAND ST
HARTFORD, CT 06105
Internal Medicine (Infectious Disease)
114 WOODLAND ST, INFECTIOUS
HARTFORD, CT 06105
Pediatrics (Neonatal-Perinatal Medicine)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Pediatrics (Neonatal-Perinatal Medicine)
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Internal Medicine (Pulmonary Disease)
114 WOODLAND ST, PULMONARY
HARTFORD, CT 06105
Internal Medicine (Pulmonary Disease)
114 WOODLAND ST, PULMONARY
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105
Physician Assistant
114 WOODLAND ST, NICU
HARTFORD, CT 06105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306847249, enumerated as an "individual" on August 02, 2005.

The provider is located at 114 WOODLAND ST DEPT OF SURGERY HARTFORD, CT 06105 and the phone number is (860) 714-4694.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.