Dr Douglas R Moore, DO - Medicare Cardiac Electrophysiology in Roseville, MI

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Dr Douglas R Moore, DO is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Roseville, Michigan. He graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Advantage Health/saint Mary's Medical Group, Mercy Health Westshore Cardiology Services and his current practice location is 25195 Kelly Rd Ste A, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 775-4594.

Dr Douglas R Moore is licensed to practice in Michigan (license number 5101013212) 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 1194729053.

Contact Information

Dr Douglas R Moore, DO
25195 Kelly Rd Ste A,
Roseville, MI 48066-4909
(586) 775-4594
(586) 775-4506

Map and Direction




Physician's Profile

Full NameDr Douglas R Moore
GenderMale
SpecialityCardiac Electrophysiology
Experience30 Years
Location25195 Kelly Rd Ste A, Roseville, 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 Douglas R Moore graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1194729053
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 10/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042285199
  • Enrollment ID: I20041109001126

Medical Identifiers

Medical identifiers for Dr Douglas R Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194729053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 0102202087 (Virginia)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 0102202087 (Virginia)Secondary
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 5101013212 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health Hackley CampusMuskegon, MIHospital
Mercy Health Saint Mary'sGrand rapids, MIHospital
Mercy Health Lakeshore CampusShelby, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advantage Health/saint Mary's Medical Group4082807961448
Mercy Health Westshore Cardiology Services599193236031

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 Douglas R Moore allows following entities to bill medicare on his behalf.
Entity NameAscension Macomb Oakland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176472
PECOS PAC ID: 7315859725
Enrollment ID: O20031107000047
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Entity NameEastlake Cardiovascular Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982657474
PECOS PAC ID: 4688562176
Enrollment ID: O20040308000049
Entity NameAdvantage Health/saint Mary's Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376862151
PECOS PAC ID: 4082807961
Enrollment ID: O20101023000279
Entity NameMercy Health Westshore Cardiology Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336573393
PECOS PAC ID: 5991932360
Enrollment ID: O20131210000146
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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 Douglas R 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 Douglas R Moore, DO
25195 Kelly Rd Ste A,
Roseville, MI 48066-4909

Ph: (586) 775-4594		Dr Douglas R Moore, DO
25195 Kelly Rd Ste A,
Roseville, MI 48066-4909

Ph: (586) 775-4594

Reviews and Comments


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Dr. Mohamad K. Ajjour, M.D.
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Dr. Ameer Abdulrazzak, MD
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Heather Lynn Henderson, DO
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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).

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