Individual provider Active NPI

Patricia Ann Moesner, MD

  • Anesthesiology Physician
  • Brownstown TWP, MI
National Provider Identifier
1013127893
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301086531 Issued in MI
Practice address
19725 Allen Rd
Suite 102
Brownstown TWP, MI 48183-1090
Phone
(734) 479-7246
NPI assigned
May 23, 2007
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301086531 MI Primary

Addresses

Primary practice location

19725 Allen Rd
Suite 102
Brownstown TWP, MI 48183-1090

Mailing address

PO Box 673876
Detroit, MI 48267-3876
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000321 MI Practitioner - AnesthesiologyPractitioner - Pain Management 7618020173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Interventional Pain Center,PCGroup PAC ID 5799797452, 5 clinicians

Practice addresses (Care Compare)

19725 Allen Rd
Brownstown TWP, MI 48183-1090
Phone (734) 479-7246

24430 Ford Rd
Suite a
Dearborn Heights, MI 48127-3280
Phone (313) 565-6782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Interventional Pain Center,PC CurrentSince Jan 1, 2012 Accepting new patients
Detroit Anesthesia Group PLLC Anesthesiology CurrentSince Jan 26, 2013 Accepting new patients
Nsa Pain Services of Michigan III, PLLC CurrentSince Mar 13, 2023 Accepting new patients
Northstar Anesthesia of Michigan III PLLC CurrentSince Jan 1, 2023 Accepting new patients
Turn Key Anesthesia, PLLC Past Accepting new patients
Anodyne Healthcare PLLC Past Accepting new patients
Integrated Health Group, P.C. Past Accepting new patients
Henry Ford West Bloomfield Hospital Anesthesiology Past Accepting new patients
Southeastern Michigan Anesthesia Anesthesiology Past Accepting new patients

Locations

19725 Allen Rd
Bldg 1
Brownstown Twp, MI 48183
Phone (313) 277-6700

19725 Allen Rd
Ste 102
Brownstown Twp, MI 48183
Phone (734) 479-7246

2040 Monroe St
Ste 206
Dearborn, MI 48124
Phone (313) 730-9260

24420 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 202-9400

24430 Ford Rd
Ste A
Dearborn Heights, MI 48127
Phone (313) 274-1292

24430 Ford Rd
Ste B
Dearborn Heights, MI 48127
Phone (248) 429-9145

2300 Austins Pkwy
Flint, MI 48507
Phone (810) 449-4190

1200 W 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 291-5236

1030 N Monroe St
#O
Monroe, MI 48162
Phone (734) 682-3309

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

11650 Belleville Rd
Ste 105
Van Buren Township, MI 48111
Phone (734) 325-6282

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCBBAA/Endpoint/BCBBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEACAA/Endpoint/EEACAA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1013127893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673876",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482673876",
            "telephone_number": "517-787-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19725 ALLEN RD",
            "address_2": "SUITE 102",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831090",
            "telephone_number": "734-479-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOESNER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301086531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

Verify at the official NPI Registry.