David Carson Moore, is a medicare enrolled "Physician Assistant - Medical" physician in Boiling Springs, South Carolina. His current practice location is
316 Village Creek Dr, Boiling Springs, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 327-9003.
David Carson Moore is licensed to practice in * (Not Available) (license number ) 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 1942859483.
Physician's Profile
| Full Name | David Carson Moore |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 316 Village Creek Dr, Boiling Springs, South Carolina |
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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: 1942859483
- Provider Enumeration Date: 09/07/2019
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193152692
- Enrollment ID: I20200221002506
Medical Identifiers
Medical identifiers for David Carson Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942859483 | NPI | - | NPPES |
| 4061PA | Medicaid | SC | |
| SCG971J6067 | Other | SC | MEDICARE PIN |
| SCG9716084 | Other | SC | MEDICARE PIN |
| SCG971J577 | Other | SC | MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | MPA3438 (South Carolina) | Secondary |
| 208000000X | Pediatrics | MPA3438 (South Carolina) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | MPA3438 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | 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. David Carson 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 |
|---|
David Carson Moore,
316 Village Creek Dr,
Boiling Springs, SC 29316-5387
Ph: (864) 327-9003 | David Carson Moore,
316 Village Creek Dr,
Boiling Springs, SC 29316-5387
Ph: (864) 327-9003 |
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