Dr Jacqueline Mcclellan Moore, DO - Medicare Hospitalist in Traverse City, MI

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Dr Jacqueline Mcclellan Moore, DO is a medicare enrolled "Internal Medicine" physician in Traverse City, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Sound Inpatient Physicians-michigan Pllc, Nw Ohio Hospital Medicine Physicians Llc and her current practice location is 1105 Sixth St, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 935-5800.

Dr Jacqueline Mcclellan Moore is licensed to practice in Michigan (license number 5101017571) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437319407.

Contact Information

Dr Jacqueline Mcclellan Moore, DO
1105 Sixth St,
Traverse City, MI 49684-2349
(231) 935-5800
(231) 935-5885

Map and Direction




Physician's Profile

Full NameDr Jacqueline Mcclellan Moore
GenderFemale
SpecialityHospitalist
Experience16 Years
Location1105 Sixth St, Traverse City, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqueline Mcclellan Moore attended and graduated from Michigan State University College Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1437319407
  • Provider Enumeration Date: 06/13/2008
  • Last Update Date: 06/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0446424832
  • Enrollment ID: I20111121000852

Medical Identifiers

Medical identifiers for Dr Jacqueline Mcclellan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437319407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5101017571 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wood County HospitalBowling green, OHHospital
Munson Medical CenterTraverse city, MIHospital
Promedica Toledo HospitalToledo, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Inpatient Physicians-michigan Pllc5395896849213
Nw Ohio Hospital Medicine Physicians Llc509216937546

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. Dr Jacqueline Mcclellan Moore allows following entities to bill medicare on her behalf.
Entity NameMunson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083761860
PECOS PAC ID: 3072426287
Enrollment ID: O20040108000904
Entity NameHospitalist Medicine Physicians Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013180181
PECOS PAC ID: 4486703170
Enrollment ID: O20090529000290
Entity NameSound Inpatient Physicians-michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639311996
PECOS PAC ID: 5395896849
Enrollment ID: O20090624000252

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. Dr Jacqueline Mcclellan 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
Dr Jacqueline Mcclellan Moore, DO
10850 E Traverse Hwy, Ste 4400,
Traverse City, MI 49684-1364

Ph: (231) 346-6800		Dr Jacqueline Mcclellan Moore, DO
1105 Sixth St,
Traverse City, MI 49684-2349

Ph: (231) 935-5800

Reviews and Comments


Internal Medicine Doctors in Traverse City, MI

John P Milliken, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 224 Circle Dr, Traverse City, MI 49684
Phone: 231-935-0525    Fax: 231-935-0529
Dr. David R Hendricks, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 153 1/2 E Front St, Traverse City, MI 49684
Phone: 231-941-6670    Fax: 231-941-6675
Dr. Jill Elizabeth Vollbrecht, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5015 N Royal Dr, Traverse City, MI 49684
Phone: 231-935-0850    Fax: 231-935-0850
Dr. Katrina Marie Lawrence-wolff, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3537 W Front St Ste A, Traverse City, MI 49684
Phone: 231-935-8330    Fax: 231-935-3437
Steven M. Lamie, M. D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3537 W Front St, Suite I, Traverse City, MI 49684
Phone: 231-935-8950    Fax: 231-935-8868
Anne M Hepner, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth St, Suite 200, Traverse City, MI 49684
Phone: 231-935-5800    Fax: 231-935-5799
Mark V Galan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684
Phone: 231-935-5710    Fax: 231-935-9045

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.