Charles Moore, - Medicare Emergency Medicine in Austell, GA

Charles Moore, is a medicare enrolled "Emergency Medicine" physician in Austell, Georgia. His current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 732-4000.

Charles Moore is licensed to practice in Georgia (license number 30655) 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 1285733220.

Contact Information

Charles Moore,
3950 Austell Rd,
Austell, GA 30106-1121
(770) 732-4000
Not Available

Map and Direction




Physician's Profile

Full NameCharles Moore
GenderMale
SpecialityEmergency Medicine
Location3950 Austell Rd, Austell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285733220
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860562600
  • Enrollment ID: I20080605000007

Medical Identifiers

Medical identifiers for Charles Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285733220NPI-NPPES
00458675EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 30655 (Georgia)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. Charles Moore allows following entities to bill medicare on his behalf.
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015

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. Charles 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
Charles Moore,
5665 New Northside Dr Nw,
Atlanta, GA 30328-5831

Ph: (770) 874-5400
Charles Moore,
3950 Austell Rd,
Austell, GA 30106-1121

Ph: (770) 732-4000

Reviews and Comments


Emergency Medicine Doctors in Austell, GA

Michelle Presley,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Zachary Richard Wetendorf, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-3886    Fax: 770-732-7280
Dr. Mark P Cruz, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Dr. Craig S Brummer, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Bradley Stearns,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Kirsten Haskelle Bendeck, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Road, Emergency Department, Austell, GA 30328
Phone: 770-732-4000    
Gerald Bortolazzo,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    

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.