Dr John Steven Moore, DO is a medicare enrolled "Internal Medicine" physician in Pauls Valley, Oklahoma. His current practice location is
200 Melville Dr, Pauls Valley, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 238-5555.
Dr John Steven Moore is licensed to practice in Oklahoma (license number 2388) 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 1306819917.
Physician's Profile
| Full Name | Dr John Steven Moore |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 200 Melville Dr, Pauls Valley, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306819917
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 03/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 2769461466
- Enrollment ID: I20100428000524
Medical Identifiers
Medical identifiers for Dr John Steven Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306819917 | NPI | - | NPPES |
| 100100420A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 2388 (Oklahoma) | 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 John Steven Moore allows following entities to bill medicare on his behalf.
| Entity Name | Southern Plains Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962469098 PECOS PAC ID: 5991618969 Enrollment ID: O20031106000698 |
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| Entity Name | Mercy Clinic Oklahoma Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
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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 John Steven 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 Address | Practice Location Address |
Dr John Steven Moore, DO 200 Melville Dr, Pauls Valley, OK 73075-6609 Ph: (405) 238-5555 | Dr John Steven Moore, DO 200 Melville Dr, Pauls Valley, OK 73075-6609 Ph: (405) 238-5555 |
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