D Wayne Moore, PA is a
Physician Assistant physician based in Englewood, Colorado. D Wayne Moore is licensed to practice in Colorado (license number 2096) and his current practice location is 501 E Hampden Ave, Englewood, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 761-9190.
NPI number for D Wayne Moore is 1528030244 and his current mailing address is 10700 E Geddes Ave Ste 200, Englewood, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528030244.
Physician's Profile
| Full Name | D Wayne Moore |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 501 E Hampden Ave, Englewood, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528030244
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 11/01/2007
Medical Identifiers
Medical identifiers for D Wayne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528030244 | NPI | - | NPPES |
| 29404037 | Medicaid | NM | |
| 59936363 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 2096 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 2096 (Colorado) | Primary |
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. D Wayne Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
D Wayne Moore, PA
10700 E Geddes Ave Ste 200,
Englewood, CO 80112-3861
Ph: (303) 761-9190 | D Wayne Moore, PA
501 E Hampden Ave,
Englewood, CO 80113-2702
Ph: (303) 761-9190 |
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