Dr Charles K Moore, MD - Medicare Cardiovascular Disease (cardiology) in Jackson, MS

Dr Charles K Moore, MD is a medicare enrolled "Internal Medicine - Advanced Heart Failure And Transplant Cardiology" physician in Jackson, Mississippi. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center, Wayne General Hospital and his current practice location is 2500 North State Street, Department Of Medicine/division Of Cardiology, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5630.

Dr Charles K Moore is licensed to practice in Mississippi (license number 13284) 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 1699795641.

Contact Information

Dr Charles K Moore, MD
2500 North State Street, Department Of Medicine/division Of Cardiology,
Jackson, MS 39216-4500
(601) 984-5630
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles K Moore
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience40 Years
Location2500 North State Street, Jackson, Mississippi
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 Charles K Moore attended and graduated from Washington University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1699795641
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 06/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2961591524
  • Enrollment ID: I20071204000664

Medical Identifiers

Medical identifiers for Dr Charles K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699795641NPI-NPPES
RR 060036949OtherMSRAILROAD
00110493MedicaidMS
P00618863OtherMSRAILROAD MEDICARE
1687821MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 13284 (Mississippi)Secondary
207RA0001XInternal Medicine - Advanced Heart Failure And Transplant Cardiology 13284 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health And HospiceClinton, MSHome health agency
University Of Mississippi Med CenterJackson, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital
North Mississippi Medical CenterTupelo, MSHospital
Merit Health River RegionVicksburg, MSHospital
Merit Health WesleyHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804
Wayne General Hospital266845758138

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 Charles K Moore allows following entities to bill medicare on his behalf.
Entity NameWayne General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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 Charles K 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 Charles K Moore, MD
2500 North State Street,
Jackson, MS 39216-4500

Ph: (601) 984-5678
Dr Charles K Moore, MD
2500 North State Street, Department Of Medicine/division Of Cardiology,
Jackson, MS 39216-4500

Ph: (601) 984-5630

Reviews and Comments


Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
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Jo P Deal, MD
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Caryl P. Sumrall, FNP
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Phone: 601-984-5532    
Tammy H Young, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1227 N State St, Ste 101, Jackson, MS 39202
Phone: 601-355-2485    Fax: 601-353-1463

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.

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