Dr Brandon Gordon Moore, MD - Medicare Psychiatry in Port Huron, MI

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Dr Brandon Gordon Moore, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Port Huron, Michigan. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St Clair County Community Mental Health Authority and his current practice location is 3111 Electric Ave, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (109) 858-9008.

Dr Brandon Gordon Moore is licensed to practice in Michigan (license number 4301099310) 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 1083902977.

Contact Information

Dr Brandon Gordon Moore, MD
3111 Electric Ave,
Port Huron, MI 48060-8127
(109) 858-9008
Not Available

Map and Direction




Physician's Profile

Full NameDr Brandon Gordon Moore
GenderMale
SpecialityPsychiatry
Experience13 Years
Location3111 Electric Ave, Port Huron, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Brandon Gordon Moore graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1083902977
  • Provider Enumeration Date: 07/13/2011
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517197692
  • Enrollment ID: I20160721002552

Medical Identifiers

Medical identifiers for Dr Brandon Gordon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083902977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301099310 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Huron Medical CenterPort huron, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Clair County Community Mental Health Authority741686198456

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 Brandon Gordon Moore allows following entities to bill medicare on his behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameSt Clair County Community Mental Health Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689783672
PECOS PAC ID: 7416861984
Enrollment ID: O20040209000604
Entity NameSt Mary Mercy Physician Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568630077
PECOS PAC ID: 4587742804
Enrollment ID: O20080425000614

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 Brandon Gordon 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 AddressPractice Location Address
Dr Brandon Gordon Moore, MD
3111 Electric Ave,
Port Huron, MI 48060-8127

Ph: (810) 985-8900		Dr Brandon Gordon Moore, MD
3111 Electric Ave,
Port Huron, MI 48060-8127

Ph: (109) 858-9008

Reviews and Comments


Psychiatry & Neurology Doctors in Port Huron, MI

Dr. John Charles Mitchell, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1209 Richardson St, Port Huron, MI 48060
Phone: 810-984-5156    Fax: 810-984-5228
Mohammad Saeed, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3111 Electric Ave, Port Huron, MI 48060
Phone: 810-985-8900    
Mostafa Seled Sadry, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2603 Electric Ave, Ste 2, Port Huron, MI 48060
Phone: 810-985-4100    Fax: 810-985-8244
Dr. Demian Ibrahim Naguib, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1117 Stone St, Suite 1, Port Huron, MI 48060
Phone: 810-985-9699    Fax: 810-985-9694
Dr. Mullai Muthuswami, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Military St, Port Huron, MI 48060
Phone: 810-985-8900    
Dr. Thomas Francis Brozovich, D.O.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1209 Richardson St, Port Huron, MI 48060
Phone: 810-984-5156    Fax: 810-984-5228

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.