Michael L Moeller (NPI# 1598765877, PAC ID# 2365437274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1598765877 |
| PAC ID by PECOS | 2365437274 |
| Professional Enrollment ID | I20040420000118 |
| Full Name | Michael L Moeller |
| Organization Legal Name | EAST CENTRAL MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER |
| Address |
211 4th St Brookings SD 57006-1917 |
| Phone Number | 6056972850 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 5890787105 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161360 | ORANGE CITY AREA HEALTH SYSTEM |
| 160124 | LAKES REGIONAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 211 4th St, Brookings, SD 57006-1917 | 6056972850 | EAST CENTRAL MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER |
| 1207 Caledonia St, Mankato, MN 56001-4329 | 5073888874 | SURDY PSYCHOLOGICAL SERVICES LLC |
| 1800 19th St, Rock Valley, IA 51247-1037 |
| Organization Legal Name | EAST CENTRAL MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline T Carroll-schaal | Physician Assistant | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Brennan Thompson | Clinical Social Worker | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Street Address |
211 4TH ST |
| City | BROOKINGS |
| State | SD |
| Zip | 57006-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin R Goudeau | Physician Assistant | Rapides Healthcare System, L.L.C. | 211 4th St, Alexandria, LA 71301-8421 |
| Robert Richards | Gastroenterology | Rapides Healthcare System, L.L.C. | 211 4th St, Alexandria, LA 71301-8421 |
| Christina Goodridge | Obstetrics/gynecology | Dhp of Louisiana PC | 211 4th St, Alexandria, LA 71301-8421 |
| Marlon Andre Medford | Internal Medicine | Hospital Physician Services - Southeast Professional Corporation | 211 4th St, Alexandria, LA 71301-8421 |
| Sadie M Ardoin | Nurse Practitioner | Hospital Physician Services - Southeast Professional Corporation | 211 4th St, Alexandria, LA 71301-8421 |
| Lori L Brister | Nurse Practitioner | Rapides Healthcare System, L.L.C. | 211 4th St, Alexandria, LA 71301-8421 |
| Charles Monty Johnson Jr. | Physician Assistant | Rapides Healthcare System, L.L.C. | 211 4th St, Alexandria, LA 71301-8421 |
| Tommie M Granger | Cardiac Surgery | Cardiovascular Surgery of Alexandria,llc. | 211 4th St, Alexandria, LA 71301-8421 |
| Paari Dominic | Cardiac Electrophysiology | Rapides Healthcare System, L.L.C. | 211 4th St, Alexandria, LA 71301-8421 |
| Satyra Sibley Arceneaux | Nurse Practitioner | Hospital Physician Services - Southeast Professional Corporation | 211 4th St, Alexandria, LA 71301-8421 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant M Anderson | Chiropractic | 223 6th St, Suite 4, Brookings, SD 57006-1406 | |
| Trisha Jean Morehouse | Optometry | Cp Twitero, PC | 2425 6th St, Brookings, SD 57006-1733 |
| Clayton P Twitero | Optometry | Cp Twitero, PC | 2425 6th St, Brookings, SD 57006-1733 |
| Madeline T Carroll-schaal | Physician Assistant | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Brennan Thompson | Clinical Social Worker | East Central Mental Health and Chemical Dependency Center | 211 4th St, Brookings, SD 57006-1917 |
| Dennis J Willert | Chiropractic | 405 Main Ave, Brookings, SD 57006-1935 | |
| Sarah A Kenyon | Chiropractic | Willert Enterprises PC | 405 Main Ave, Brookings, SD 57006-1935 |
| Brenda L Johnson | Nurse Practitioner | 306 4th St, Suite G, Brookings, SD 57006-1940 | |
| Isaiah Andrew Crevier | Chiropractic | 430 5th St, Brookings, SD 57006-2007 | |
| Jason C Jahn | Optometry | Tasha J. Jones, O.d. P.c | 1100 6th St, Brookings, SD 57006-2206 |
| Find all physicians in zip 57006 | |||
| City | BROOKINGS |
| Zip Code | 57006 |
| Specialty | PSYCHIATRY |
| City + Specialty | BROOKINGS + PSYCHIATRY |
Please comment or provide details below to improve the information on Michael L Moeller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.