Dr Kyle Anthony Moore, MD in Richmond, CA - Medicare Internal Medicine

Dr Kyle Anthony Moore, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Richmond, California. His current practice location is 1313 Cutting Blvd, Richmond, California. You can reach out to his office (for appointments etc.) via phone at (510) 232-0874.

Dr Kyle Anthony Moore is licensed to practice in California (license number CA 043351) 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 1568580322.

Contact Information

	Dr Kyle Anthony Moore, MD
	1313 Cutting Blvd, Richmond, CA 94804-2554
	(510) 232-0874
	(510) 232-8652

Map and Direction

Physician's Profile

Full Name	Dr Kyle Anthony Moore
Gender	Male
Speciality	Internal Medicine - Addiction Medicine
Location	1313 Cutting Blvd, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568580322
Provider Enumeration Date: 03/27/2007
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1759573405
Enrollment ID: I20101013000296

Medical Identifiers

Medical identifiers for Dr Kyle Anthony Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568580322	NPI	-	NPPES
00433510	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0401X	Internal Medicine - Addiction Medicine	CA 043351 (California)	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 Kyle Anthony Moore allows following entities to bill medicare on his behalf.

Entity Name	Baart Community Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982781159 PECOS PAC ID: 5799672515 Enrollment ID: O20040304000346

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 Kyle Anthony 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 Kyle Anthony Moore, MD Po Box 70072, Richmond, CA 94807-0072 Ph: (510) 375-0891	Dr Kyle Anthony Moore, MD 1313 Cutting Blvd, Richmond, CA 94804-2554 Ph: (510) 232-0874

Reviews and Comments

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Dr Kyle Anthony Moore, MD - Medicare Internal Medicine in Richmond, CA