Shorn D Mcmoore, DDS in Charlottesville, VA

Shorn D Mcmoore, DDS is a medicare enrolled "Dentist - General Practice" provider in Charlottesville, Virginia. His current practice location is 277 Hydraulic Ridge Rd Ste 205, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 465-2153.

Shorn D Mcmoore is licensed to practice in Virginia (license number 0401411831) 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 1720286362.

Contact Information

	Shorn D Mcmoore, DDS
	277 Hydraulic Ridge Rd Ste 205, Charlottesville, VA 22901-8127
	(434) 465-2153
	(434) 956-4141

Map and Direction

Healthcare Provider's Profile

Full Name	Shorn D Mcmoore
Gender	Male
Speciality	Dentist - General Practice
Location	277 Hydraulic Ridge Rd Ste 205, Charlottesville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720286362
Provider Enumeration Date: 07/05/2007
Last Update Date: 12/04/2025

Medicare PECOS Information:

PECOS PAC ID: 9436683646
Enrollment ID: I20241111003318

Medical Identifiers

Medical identifiers for Shorn D Mcmoore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720286362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401411831 (Virginia)	Primary
122300000X	Dentist	12642 (Tennessee)	Secondary

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. Shorn D Mcmoore allows following entities to bill medicare on his behalf.

Entity Name	Matthew Walker Comprehensive Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356405278 PECOS PAC ID: 4082691456 Enrollment ID: O20040702000588

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. Shorn D Mcmoore 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
Shorn D Mcmoore, DDS 401 Beecham Dr, Richmond, VA 23227-1302 Ph: (804) 918-0069	Shorn D Mcmoore, DDS 277 Hydraulic Ridge Rd Ste 205, Charlottesville, VA 22901-8127 Ph: (434) 465-2153

Reviews and Comments

Dentist in Charlottesville, VA

Dr. Sarah Nicole Grupp, DMD, MMS Dentist Medicare: Not Enrolled in Medicare Practice Location: 944 Glenwood Station Ln Ste 203, Charlottesville, VA 22901 Phone: 434-973-7011
Dr. William Joseph Viglione, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3025 Berkmar Dr, Viglione Haines And Associates, Charlottesville, VA 22901 Phone: 434-973-4355 Fax: 434-973-8079
Dr. Christine Adhiambo Owuor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Hickman Rd, Suite 101, Charlottesville, VA 22911 Phone: 434-973-2520 Fax: 434-974-9497
Sayward E Duggan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1222 Jefferson Park Ave, Charlottesville, VA 22903 Phone: 434-924-1774 Fax: 434-243-6378
Dr. James Paul Soderquist, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 E Jefferson St, Charlottesville, VA 22902 Phone: 434-971-9601 Fax: 434-971-9646
Dr. Lawrence Sherrill Brannon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 683 Berkmar Ct, Charlottesville, VA 22901 Phone: 434-974-4555 Fax: 434-974-4558
Dr. Holly Todd Legg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 Winding River Ln, Suite 201, Charlottesville, VA 22911 Phone: 434-984-6400

Shorn D Mcmoore, DDS - Medicare Dentist in Charlottesville, VA