Jeffrey Michael Moll, M. D.
Individual provider Active NPI Psychiatry Physician · Marble, PA
NPI 1386972040 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1386972040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD434350 (PA)
- Practice address
- 110 Marble Rd
Marble, PA 16334-0098 - Phone
- (814) 354-2231
- NPI assigned
- Nov 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Pennsylvania Physician Alliance, LLC
Practice addresses (Care Compare)
2 Hospital Dr
Clarion, PA 16214-8502
Phone (800) 253-4906
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 78.42
- Improvement activities
- 40
- Cost
- 70.24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120207000430 | PA | Practitioner - Psychiatry | 1355508177 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD434350 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nulton Diagnostic & Treatment Center, PC. | Current |
Accepting new patients | |
| Nulton Diagnostic & Treatment Center, PC | Psychiatry | Current | Accepting new patients |
| Eastern Pennsylvania Physician Alliance LLC | Current |
Accepting new patients | |
| Uhs of Pennsylvania, Inc | Past | Accepting new patients |
Locations
2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906
214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025
722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800
4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD434350 | PA | Yes |
Addresses
Primary practice location
110 Marble Rd
Marble, PA 16334-0098
Mailing address
110 Marble Rd
Marble, PA 16334-0098
Phone (814) 354-2231
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.