Look up the most recent NPI and PECOS records

Rodney L Moser

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3100 Douglas Blvd, Roseville, CA 95661-3866

PECOS Enrollment

Based on the most recent information from CMS, provider Rodney L Moser does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1750481644
Provider Type
Individual
Full Name
Moser, Rodney L
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
9/22/2006
Last Updated
7/27/2015

Contact Information

Practice Location

3100 Douglas Blvd, Roseville, CA 95661-3866

(916) 774-8500

(916) 773-9223

Mailing Location

10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539

(800) 470-0071

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA10041 California

Provider Identifiers

ID	Description	Issuer
ID 0PA100410	Description Medicaid	Issuer Unlisted California

Rodney L Moser

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Babchanik, Lyudmila I

Terhune, Andrew P

Mccoy, Michael Lee

O'Brien, Grace

Snarr, Matthew

Nugent, Christopher P

Samuels, Jason

Randall, Alison L

Turney, Carlynn

Bradley, Boden