Dr Michael R Moore, MD is a medicare enrolled "Family Medicine" physician in Eminince, Missouri. His current practice location is
1003 South Main Street, Eminince, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 226-5505.
Dr Michael R Moore is licensed to practice in Missouri (license number R4837) 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 1336302280.
Physician's Profile
| Full Name | Dr Michael R Moore |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1003 South Main Street, Eminince, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336302280
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 07/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 7416852561
- Enrollment ID: I20081003000474
Medical Identifiers
Medical identifiers for Dr Michael R Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336302280 | NPI | - | NPPES |
| 1336302280 | Medicaid | MO | |
| 1285957001 | Other | MO | MEDICAID (GROUP) |
| 26D2006074 | Other | MO | CLIA |
| 597780303 | Other | MO | RH MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R4837 (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. Dr Michael R Moore allows following entities to bill medicare on his behalf.
| Entity Name | Big Springs Medical Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225045321
PECOS PAC ID: 6709871007
Enrollment ID: O20040416000695 |
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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 Michael R 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 Address | Practice Location Address |
|---|
Dr Michael R Moore, MD
Po Box 157,
Ellington, MO 63638-0157
Ph: (573) 663-2313 | Dr Michael R Moore, MD
1003 South Main Street,
Eminince, MO 65466-0100
Ph: (573) 226-5505 |
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