Dr Glenndale Moore, MD - Medicare Cardiovascular Disease (cardiology) in Raleigh, NC

Dr Glenndale Moore, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Raleigh, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). His current practice location is 2949 New Bern Ave, Suite 112-a, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 231-3614.

Dr Glenndale Moore is licensed to practice in North Carolina (license number 24609) 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 1164485033.

Contact Information

Dr Glenndale Moore, MD
2949 New Bern Ave, Suite 112-a,
Raleigh, NC 27610-1248
(919) 231-3614
(919) 212-9029

Map and Direction




Physician's Profile

Full NameDr Glenndale Moore
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience45 Years
Location2949 New Bern Ave, Raleigh, North Carolina
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 Glenndale Moore attended and graduated from Wake Forest University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1164485033
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1052441581
  • Enrollment ID: I20100610000252

Medical Identifiers

Medical identifiers for Dr Glenndale Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164485033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 24609 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wakemed, Raleigh CampusRaleigh, NCHospital

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 Glenndale Moore allows following entities to bill medicare on his behalf.
Entity NameWakemed
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194907717
PECOS PAC ID: 7315937612
Enrollment ID: O20040722000418

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 Glenndale 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 Glenndale Moore, MD
Po Box 28510,
Raleigh, NC 27611-8510

Ph: (919) 231-3614
Dr Glenndale Moore, MD
2949 New Bern Ave, Suite 112-a,
Raleigh, NC 27610-1248

Ph: (919) 231-3614

Reviews and Comments


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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).

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.