Dr Jake T Moore, DO - Medicare Family Medicine in Bowling Green, OH

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Dr Jake T Moore, DO is a medicare enrolled "Family Medicine" physician in Bowling Green, Ohio. His current practice location is 1180 N Main St Ste 5, Bowling Green, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 315-1225.

Dr Jake T Moore is licensed to practice in Ohio (license number 34.014671) 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 1730537887.

Contact Information

Dr Jake T Moore, DO
1180 N Main St Ste 5,
Bowling Green, OH 43402-4932
(419) 315-1225
(419) 315-1226

Map and Direction




Physician's Profile

Full NameDr Jake T Moore
GenderMale
SpecialityFamily Medicine
Location1180 N Main St Ste 5, Bowling Green, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730537887
  • Provider Enumeration Date: 05/31/2016
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658669445
  • Enrollment ID: I20190717001491

Medical Identifiers

Medical identifiers for Dr Jake T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730537887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 5101022457 (Michigan)Secondary
207Q00000XFamily Medicine 34.014671 (Ohio)Primary

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 Jake T Moore allows following entities to bill medicare on his behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831139088
PECOS PAC ID: 6709799166
Enrollment ID: O20040102000790
Entity NameWellstreet Urgent Care Of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578048096
PECOS PAC ID: 6305188491
Enrollment ID: O20190610002007

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 Jake T 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 Jake T Moore, DO
333 N Summit St Fl 7,
Toledo, OH 43604-1531

Ph: (419) 315-1225		Dr Jake T Moore, DO
1180 N Main St Ste 5,
Bowling Green, OH 43402-4932

Ph: (419) 315-1225

Reviews and Comments


Family Medicine Doctors in Bowling Green, OH

Dr. William E Feeman Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 640 S Wintergarden Rd, Bowling Green, OH 43402
Phone: 419-352-4665    Fax: 419-353-0219
Richard Peter Walsh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 960 W Wooster St Ste 105, Bowling Green, OH 43402
Phone: 419-353-6262    Fax: 419-353-6260
Jeffrey B Noftz Ii, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1069 Klotz Rd Ste A, Bowling Green, OH 43402
Phone: 419-728-0110    Fax: 419-728-0113
E. Kerry Pearson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1039 Haskins Rd Unit A, Bowling Green, OH 43402
Phone: 419-352-1121    Fax: 419-352-1179
Nazia Yasmin Sidiq, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1039 Haskins Rd, Suite A, Bowling Green, OH 43402
Phone: 419-352-1121    Fax: 419-352-1179
David P Barnes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Ridgewood Dr, Suite B, Bowling Green, OH 43402
Phone: 419-352-9071    Fax: 419-352-9073
Allison Kathryn Glanz, CNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 W Wooster St, Bowling Green, OH 43402
Phone: 419-373-7642    

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.