Mary L Moss (NPI# 1649286600, PAC ID# 9436289998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1649286600 |
PAC ID by PECOS | 9436289998 |
Professional Enrollment ID | I20100609000479 |
Full Name | Mary L Moss |
Organization Legal Name | PREMIER RADIOLOGY INC |
Address |
620 Crossover Rd Tupelo MS 38801-4944 |
Phone Number | 6626207101 |
Gender | F |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1993 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 2769452242 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250004 | NORTH MISSISSIPPI MEDICAL CENTER |
250020 | WEBSTER GENERAL HOSPITAL/ SWING BED |
250025 | GILMORE MEMORIAL HOSPITAL |
250002 | TISHOMINGO HEALTH SERVICES INC |
251308 | PONTOTOC HEALTH SERVICE INC CAH |
Address | Phone | Organization |
---|---|---|
320 S Gloster St, Tupelo, MS 38801-4751 | 6628417880 | IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC |
616 Crossover Rd, Tupelo, MS 38801-4944 | 6623776820 | MEDICAL IMAGING, LLC |
620 Crossover Rd, Tupelo, MS 38801-4944 | 6626207101 | PREMIER RADIOLOGY INC |
891 Mississippi Dr, Tupelo, MS 38804-0934 | 6623776800 | MEDICAL IMAGING, LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 92% | |
MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
Organization Legal Name | PREMIER RADIOLOGY INC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith Andrews | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
David Mb Dean | Diagnostic Radiology | Premier Radiology Inc | 320 S Gloster St, Tupelo, MS 38801-4748 |
Joanna Sadowska | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Zandra D Frans | Nurse Practitioner | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Sarah Milam Deraney | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Phyllis Elaine Mason | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Street Address |
620 CROSSOVER RD |
City | TUPELO |
State | MS |
Zip | 38801-4944 |
Name | Specialty | Organization | Address |
---|---|---|---|
Keith Andrews | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Joanna Sadowska | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Zandra D Frans | Nurse Practitioner | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Sarah Milam Deraney | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Phyllis Elaine Mason | Diagnostic Radiology | Premier Radiology Inc | 620 Crossover Rd, Tupelo, MS 38801-4944 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
Find all physicians in zip 38801 |
City | TUPELO |
Zip Code | 38801 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | TUPELO + DIAGNOSTIC RADIOLOGY |
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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.