EVAN MOSCONE PA-C
NPI 1811189517
Physician Assistant in Troy, MI

Q: What is Evan Moscone's NPI number?

The NPI number for Evan Moscone is 1811189517. It was assigned to this individual provider in the NPPES registry on August 16, 2007. The provider is also known as Evan Haddad PA.

Q: What is Evan Moscone's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Moscone was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment

44201 DEQUINDRE RD STE EC, TROY, MI 48085(248) 964-5000 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2022, Mar 13, 2018 (2 updates tracked since 2018).

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About Evan Moscone Pa-c NPPES

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

EVAN MOSCONE PA-C (NPI 1811189517) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601005041) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Farmington Hills, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811189517

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameEVAN MOSCONECredential: PA-C

Location Address44201 DEQUINDRE RD STE ECTroy, MI 48085-1117

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (248) 585-8266

Phone(248) 964-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 16, 2007

Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration

NPPES CertifiedJuly 29, 2022

✔ NPI 1811189517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601005041

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

44201 DEQUINDRE RD STE EC, Troy, MI 48085

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Other Names 1

Former Name (1)Evan Haddad Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Evan Moscone Pa-c 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 ID4789771379

PECOS Enrollment IDI20071029000692

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COURTNEY ANNE CROWLEY CPNP-PC

Nurse Practitioner (Pediatrics)