Dr Kerry Brigid Moore, MD - Medicare Pediatrics in Port Jefferson Station, NY

Dr Kerry Brigid Moore, MD is a medicare enrolled "Pediatrics" physician in Port Jefferson Station, New York. Her current practice location is 815 Hallock Ave, Suite A, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-7267.

Dr Kerry Brigid Moore is licensed to practice in New York (license number 183552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891973426.

Contact Information

Dr Kerry Brigid Moore, MD
815 Hallock Ave, Suite A,
Port Jefferson Station, NY 11776-1220
(631) 331-7267
(631) 331-7267

Map and Direction




Physician's Profile

Full NameDr Kerry Brigid Moore
GenderFemale
SpecialityPediatrics
Location815 Hallock Ave, Port Jefferson Station, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891973426
  • Provider Enumeration Date: 02/06/2008
  • Last Update Date: 02/06/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3870837644
  • Enrollment ID: I20181205000987

Medical Identifiers

Medical identifiers for Dr Kerry Brigid Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891973426NPI-NPPES
01500581MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 183552 (New York)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. Dr Kerry Brigid Moore allows following entities to bill medicare on her behalf.
Entity NameProhealth Care Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468

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 Kerry Brigid 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 Kerry Brigid Moore, MD
52 Annandale Rd,
Stony Brook, NY 11790-2410

Ph: (631) 246-6220
Dr Kerry Brigid Moore, MD
815 Hallock Ave, Suite A,
Port Jefferson Station, NY 11776-1220

Ph: (631) 331-7267

Reviews and Comments


Pediatrics Doctors in Port Jefferson Station, NY

Jennifer Marie Diaz, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776
Phone: 631-828-7001    Fax: 631-928-0185
Patricia Bigini-quinn, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5 Medical Drive, Cody Center For Autism And Developmental Disabilities, Port Jefferson Station, NY 11776
Phone: 631-632-3070    Fax: 631-632-6785
Dr. Gerald David Hartman, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8 Roosevelt Ave, Port Jefferson Station, NY 11776
Phone: 631-928-5959    Fax: 631-928-8521
Dr. Kumar Madom, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5225 Nesconset Hwy, Suite 35, Port Jefferson Station, NY 11776
Phone: 631-331-3232    Fax: 631-928-4910
Dr. Damian Forletti, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776
Phone: 631-331-7267    
Dr. Magdalena M Oleszak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776
Phone: 631-331-7267    Fax: 631-331-7289
Thushanthi Shanila Perera, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776
Phone: 631-331-7267    Fax: 631-331-7289

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.