Dr Jacob Robert Moore, MD - Medicare Emergency Medicine in Chicago, IL

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Dr Jacob Robert Moore, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Aurora Emergency Physicians Llc, Riverside Emergency Physicians Llc, Clarksville Emergency Group Pc, Rush University Medical Group and his current practice location is 5841 S Maryland Ave Rm L539, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-9500.

Dr Jacob Robert Moore is licensed to practice in Illinois (license number 125066516) 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 1750762928.

Contact Information

Dr Jacob Robert Moore, MD
5841 S Maryland Ave Rm L539,
Chicago, IL 60637-1447
(773) 702-9500
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Robert Moore
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location5841 S Maryland Ave Rm L539, Chicago, Illinois
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 Jacob Robert Moore graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1750762928
  • Provider Enumeration Date: 06/14/2015
  • Last Update Date: 06/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042513756
  • Enrollment ID: I20180724002480

Medical Identifiers

Medical identifiers for Dr Jacob Robert Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750762928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125066516 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Medical CenterKankakee, ILHospital
Franciscan Health Michigan CityMichigan city, INHospital
Morrison Community HospitalMorrison, ILHospital
Advocate Illinois Masonic Medical CenterChicago, ILHospital
Rush Oak Park HospitalOak park, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Emergency Physicians Llc185065718044
Riverside Emergency Physicians Llc620429411935
Clarksville Emergency Group Pc6507277423149
Rush University Medical Group54966588741521

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 Jacob Robert Moore allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health and Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameRush University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameRush Oak Park ER Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447260880
PECOS PAC ID: 8820190606
Enrollment ID: O20070226000187
Entity NameAurora Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407379423
PECOS PAC ID: 1850657180
Enrollment ID: O20171102000998
Entity NameRiverside Emergency Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548969181
PECOS PAC ID: 6204294119
Enrollment ID: O20230626002054

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 Jacob Robert 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 Jacob Robert Moore, MD
100 E 14th St Apt 803,
Chicago, IL 60605-3666

Ph: (815) 988-3623		Dr Jacob Robert Moore, MD
5841 S Maryland Ave Rm L539,
Chicago, IL 60637-1447

Ph: (773) 702-9500

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.

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