Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOEN, MD, PC
Active
Organization
MOEN, MD, PC
Active
Other names
Prospero Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY MANN (BILLING CREDENTIALING MANAGER)
(901) 422-7608
Entity
Organization
Contact information
Practice address
4900 CALIFORNIA AVE, TOWER B 2ND FLOOR, BAKERSFIELD, CA 93309
(901) 438-6200
Mailing address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 422-7644
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
NULL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers