Dr Michael Sean Moore, MD is a medicare enrolled "Internal Medicine" physician in Fort Leonard Wood, Missouri. His current practice location is
General Leonard Wood Army Community Hospital, 4430 Missouri Avenue, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 596-0417.
Dr Michael Sean Moore is licensed to practice in Minnesota (license number 53953) 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 1184885378.
Physician's Profile
| Full Name | Dr Michael Sean Moore |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184885378
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 07/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193903508
- Enrollment ID: I20110706000352
Medical Identifiers
Medical identifiers for Dr Michael Sean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184885378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 53953 (Minnesota) | 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 Michael Sean Moore allows following entities to bill medicare on his behalf.
| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461 |
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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 Michael Sean 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 |
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Dr Michael Sean Moore, MD
8180 Belden Blvd,
Cottage Grove, MN 55016-2645
Ph: (651) 282-4283 | Dr Michael Sean Moore, MD
General Leonard Wood Army Community Hospital, 4430 Missouri Avenue,
Fort Leonard Wood, MO 65473-9098
Ph: (573) 596-0417 |
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