Dr Kelsey Moore, OD - Medicare Optometrist in Plymouth, MN

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Dr Kelsey Moore, OD is a medicare enrolled "Optometrist" provider in Plymouth, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kennedy Vision Health Center, Llc and her current practice location is 10600 Old County Road 15, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 545-8850.

Dr Kelsey Moore is licensed to practice in Minnesota (license number 3563) 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 1154844017.

Contact Information

Dr Kelsey Moore, OD
10600 Old County Road 15,
Plymouth, MN 55441-6200
(763) 545-8850
(763) 544-1257

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelsey Moore
GenderFemale
SpecialityOptometry
Experience7 Years
Location10600 Old County Road 15, Plymouth, Minnesota
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 Kelsey Moore graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1154844017
  • Provider Enumeration Date: 07/24/2017
  • Last Update Date: 02/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759711120
  • Enrollment ID: I20200427000837

Medical Identifiers

Medical identifiers for Dr Kelsey Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154844017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WP0200XOptometrist - Pediatrics 3563 (Minnesota)Secondary
152WV0400XOptometrist - Vision Therapy 3563 (Minnesota)Secondary
152W00000XOptometrist 3563 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kennedy Vision Health Center, Llc97391736596

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 Kelsey Moore allows following entities to bill medicare on her behalf.
Provider NameKennedy Vision Health Center, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033203963
PECOS PAC ID: 9739173659
Enrollment ID: O20040413001418
Provider NameEagan Eye Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477732337
PECOS PAC ID: 0345220745
Enrollment ID: O20040726000300
Provider NameBright Eyes Vision Clinic, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720113947
PECOS PAC ID: 1456360403
Enrollment ID: O20060419000423

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 Kelsey 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 Kelsey Moore, OD
10600 Old County Road 15,
Plymouth, MN 55441-6200

Ph: (763) 545-8850		Dr Kelsey Moore, OD
10600 Old County Road 15,
Plymouth, MN 55441-6200

Ph: (763) 545-8850

Reviews and Comments


Optometrist in Plymouth, MN

Kennedy Vision Health Center, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 10600 Old County Road 15, Plymouth, MN 55441
Phone: 763-545-8850    Fax: 763-544-1257
John Mueller Od Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442
Phone: 763-559-5522    Fax: 763-559-7122
Nicole Ann Solem, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4455 Highway 169 N, Plymouth, MN 55442
Phone: 763-559-7358    
Visionsmith Inc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442
Phone: 763-559-5522    Fax: 763-559-7122
Dr. Nadia Siddiqi Khan, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447
Phone: 763-559-4669    Fax: 763-559-4767
Chase Edward Eder, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 10600 Old County Road 15, Plymouth, MN 55441
Phone: 763-452-9381    

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.