Dr Patrick Brett Moore, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Kansas City, Missouri. His current practice location is
6340 N Chatham Ave, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 746-1171.
Dr Patrick Brett Moore is licensed to practice in Missouri (license number 2005019138) 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 1497789036.
Healthcare Provider's Profile
| Full Name | Dr Patrick Brett Moore |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 6340 N Chatham Ave, Kansas City, 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: 1497789036
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 09/30/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850603325
- Enrollment ID: I20161003001459
Medical Identifiers
Medical identifiers for Dr Patrick Brett Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497789036 | NPI | - | NPPES |
| 61071 | Other | KS | KANSAS DENTAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2005019138 (Missouri) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2005019138 (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 Patrick Brett Moore allows following entities to bill medicare on his behalf.
| Entity Name | University Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669456257
PECOS PAC ID: 1153235825
Enrollment ID: O20031117000701 |
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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 Patrick Brett 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 Patrick Brett Moore, DDS, MD
2310 Holmes St, Ste 800,
Kansas City, MO 64108-2602
Ph: (816) 218-2523 | Dr Patrick Brett Moore, DDS, MD
6340 N Chatham Ave,
Kansas City, MO 64151-2473
Ph: (816) 746-1171 |
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