Nicholas Jay Moore, DDS - Medicare Dentist in Springfield, MO

Nicholas Jay Moore, DDS is a medicare enrolled "Dentist" provider in Springfield, Missouri. His current practice location is 440 E Tampa St, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 831-0150.

Nicholas Jay Moore is licensed to practice in Missouri (license number 2019016638) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225695703.

Contact Information

Nicholas Jay Moore, DDS
440 E Tampa St,
Springfield, MO 65806-1131
(417) 831-0150
(417) 868-8263

Map and Direction




Healthcare Provider's Profile

Full NameNicholas Jay Moore
GenderMale
SpecialityDentist
Location440 E Tampa St, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225695703
  • Provider Enumeration Date: 05/21/2019
  • Last Update Date: 05/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2264768142
  • Enrollment ID: I20190730004075

Medical Identifiers

Medical identifiers for Nicholas Jay Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225695703NPI-NPPES
2019016638OtherMOMISSOURI PROFESSIONAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2019016638 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Jay Moore allows following entities to bill medicare on his behalf.
Entity NameAdvocates For A Healthy Community Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558303057
PECOS PAC ID: 5395653562
Enrollment ID: O20041109000631

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Jay Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Jay Moore, DDS
947 Weeks Ave Se,
Minneapolis, MN 55414-2675

Ph: (816) 699-0732
Nicholas Jay Moore, DDS
440 E Tampa St,
Springfield, MO 65806-1131

Ph: (417) 831-0150

Reviews and Comments


Dentist in Springfield, MO

Dr. Darren William Mahaffey, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 509 W Battlefield, Springfield, MO 65807
Phone: 417-887-3573    Fax: 417-887-3585
Chanin S Ropka, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 540 W Lasalle St, Springfield, MO 65807
Phone: 417-887-1220    Fax: 417-887-0357
Laurel Alaine Prichard, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 618 N Benton Ave, Springfield, MO 65806
Phone: 417-831-0150    Fax: 417-831-0155
Dr. Jeffrey E Sletto Jr., DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 3540 S National Ave, Springfield, MO 65807
Phone: 417-886-9094    
Dr. Gary L. Buzbee, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1244 E Lark St, Springfield, MO 65804
Phone: 417-881-1388    Fax: 417-889-1209
Dr. Keith Van Myers, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 2965 E Chestnut Expressway, Springfield, MO 65802
Phone: 417-831-3311    Fax: 417-831-0552
Dr. Andrew Allen Johns, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Woodhurst Dr, Ste H-200, Springfield, MO 65804
Phone: 417-881-6000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.