John Moore, is a medicare enrolled "Social Worker - Clinical" provider in Bourne, Massachusetts. His current practice location is
1 Dogwood Rd, Bourne, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 839-3429.
John Moore is licensed to practice in Massachusetts (license number 1022699) 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 1679643605.
Healthcare Provider's Profile
| Full Name | John Moore |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1 Dogwood Rd, Bourne, Massachusetts |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679643605
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 11/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456371673
- Enrollment ID: I20051202000567
Medical Identifiers
Medical identifiers for John Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679643605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 1022699 (Massachusetts) | 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. John Moore allows following entities to bill medicare on his behalf.
| Entity Name | Prospect Hill Consultants Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447496237 PECOS PAC ID: 9436215985 Enrollment ID: O20090306000532 |
|---|
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. John 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 |
John Moore, 1 Dogwood Rd, Bourne, MA 02532-2227 Ph: (617) 839-3429 | John Moore, 1 Dogwood Rd, Bourne, MA 02532-2227 Ph: (617) 839-3429 |
Reviews and Comments