Dr Marcus Ryan Moore, DC is a medicare enrolled "Chiropractor" provider in Hamel, Minnesota. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Chiropractic. His current practice location is
833 Meander Ct, Hamel, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 470-0635.
Dr Marcus Ryan Moore is licensed to practice in Minnesota (license number 6939) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487309118.
Healthcare Provider's Profile
| Full Name | Dr Marcus Ryan Moore |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 4 Years |
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| Location | 833 Meander Ct, Hamel, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Marcus Ryan Moore graduated from medical school in 2021
NPI Data:
- NPI Number: 1487309118
- Provider Enumeration Date: 02/22/2022
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577959543
- Enrollment ID: I20220331001807
Medical Identifiers
Medical identifiers for Dr Marcus Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487309118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6939 (Minnesota) | 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 Marcus Ryan Moore allows following entities to bill medicare on his behalf.
| Provider Name | Sota Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922733500
PECOS PAC ID: 5890178750
Enrollment ID: O20220810002979 |
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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 Marcus Ryan 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 |
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Dr Marcus Ryan Moore, DC
833 Meander Ct,
Hamel, MN 55340-4549
Ph: (612) 470-0635 | Dr Marcus Ryan Moore, DC
833 Meander Ct,
Hamel, MN 55340-4549
Ph: (612) 470-0635 |
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