Keegan Bryce Moore, DC is a medicare enrolled "Chiropractor" provider in Wynnewood, Oklahoma. He went to Cleveland Chiropractic College - Kansas City and graduated in 2022 and has 3 years of diverse experience with area of expertise as Chiropractic. His current practice location is
210 S Dean A Mcgee Ave, Wynnewood, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 207-7541.
Keegan Bryce Moore is licensed to practice in Oklahoma (license number 4529) 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 1982319687.
Healthcare Provider's Profile
| Full Name | Keegan Bryce Moore |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 3 Years |
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| Location | 210 S Dean A Mcgee Ave, Wynnewood, Oklahoma |
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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:
- Keegan Bryce Moore attended and graduated from Cleveland Chiropractic College - Kansas City in 2022
NPI Data:
- NPI Number: 1982319687
- Provider Enumeration Date: 01/17/2023
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274907969
- Enrollment ID: I20230320002810
Medical Identifiers
Medical identifiers for Keegan Bryce Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982319687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4529 (Oklahoma) | 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. Keegan Bryce Moore allows following entities to bill medicare on his behalf.
| Provider Name | Ada Family Chiropractic P.l.l.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982902235
PECOS PAC ID: 0840460473
Enrollment ID: O20110908002160 |
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| Provider Name | Moore Chiropractic And Wellness |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184303117
PECOS PAC ID: 4789039272
Enrollment ID: O20231019000017 |
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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. Keegan Bryce 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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Keegan Bryce Moore, DC
210 S Dean A Mcgee Ave,
Wynnewood, OK 73098-7810
Ph: (405) 207-7541 | Keegan Bryce Moore, DC
210 S Dean A Mcgee Ave,
Wynnewood, OK 73098-7810
Ph: (405) 207-7541 |
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