Dr Kenneth Lawrence Moore, MD in Burr Ridge, IL

Dr Kenneth Lawrence Moore, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Burr Ridge, Illinois. He went to Chicago College Of Medicine And Surgery and graduated in 1975 and has 49 years of diverse experience with area of expertise as Neurology. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is 12 Tartan Ridge Rd, Burr Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 323-1316.

Dr Kenneth Lawrence Moore is licensed to practice in Illinois (license number 036-053328) 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 1891899258.

Contact Information

	Dr Kenneth Lawrence Moore, MD
	12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904
	(630) 323-1316
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Lawrence Moore
Gender	Male
Speciality	Neurology
Experience	49 Years
Location	12 Tartan Ridge Rd, Burr Ridge, Illinois
Accepts Medicare Assignments	Yes. 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 Kenneth Lawrence Moore attended and graduated from Chicago College Of Medicine And Surgery in 1975

NPI Data:

NPI Number: 1891899258
Provider Enumeration Date: 09/07/2006
Last Update Date: 01/20/2016

Medicare PECOS Information:

PECOS PAC ID: 0446211874
Enrollment ID: I20041020000200

Medical Identifiers

Medical identifiers for Dr Kenneth Lawrence Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891899258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084A0401X	Psychiatry & Neurology - Addiction Medicine	036-053328 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Illinois Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Board Of Trustees Of The University Of Illinois	3072422716	929

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 Kenneth Lawrence Moore allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982824660 PECOS PAC ID: 3072422716 Enrollment ID: O20031126000669

Entity Name	Humboldt Park Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740417153 PECOS PAC ID: 8921907072 Enrollment ID: O20040107000704

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 Kenneth Lawrence 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 Kenneth Lawrence Moore, MD 12 Tartan Ridge Road, Burr Ridge, IL 60527-8904 Ph: (630) 323-1316	Dr Kenneth Lawrence Moore, MD 12 Tartan Ridge Rd, Burr Ridge, IL 60527-8904 Ph: (630) 323-1316

Reviews and Comments

Psychiatry & Neurology Doctors in Burr Ridge, IL

Dr. Elizabeth Valencia Bernardino, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7055 Veterans Blvd, Unit C, Burr Ridge, IL 60527 Phone: 630-325-4899 Fax: 630-325-4811
Amara Mian, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 Hidden Lake Dr, Burr Ridge, IL 60527 Phone: 630-915-4673
Dr. Bharathi Marri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6972 Fieldstone Dr, Burr Ridge, IL 60527 Phone: 630-241-1495 Fax: 630-241-1543
Dr. Priti Singh, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16w300 83rd St Ste 100, Burr Ridge, IL 60527 Phone: 630-230-3372 Fax: 630-568-5050
Anthony T Reder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
John S Ebersole, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064
Avertano Noronha, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 Phone: 773-834-4064

Dr Kenneth Lawrence Moore, MD - Medicare Neurology in Burr Ridge, IL