Dr Richard A Moore, PHD, MD is a
Colon & Rectal Surgery physician based in Chattanooga, Tennessee. Dr Richard A Moore is licensed to practice in Tennessee (license number MD36974) and his current practice location is 979 E 3rd St, Ste 300, Chattanooga, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 267-0466.
NPI number for Dr Richard A Moore is 1881688521 and his current mailing address is 979 E 3rd St, Ste 300, Chattanooga, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881688521.
Physician's Profile
| Full Name | Dr Richard A Moore |
|---|
| Gender | Male |
|---|
| Speciality | Colon & Rectal Surgery |
|---|
| Location | 979 E 3rd St, Chattanooga, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881688521
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 02/18/2019
Medical Identifiers
Medical identifiers for Dr Richard A Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881688521 | NPI | - | NPPES |
| 1990242001 | Other | | CIGNA |
| 009915145 | Medicaid | AL | |
| 280001172 | Other | | RR MEDICARE |
| 62165877478 | Other | | JDH |
| Q002576 | Medicaid | TN | |
| 00968899A | Medicaid | GA | |
| 4046885 | Other | | BCBS OF TN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD36974 (Tennessee) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD36974 (Tennessee) | Primary |
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 Richard A Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard A Moore, PHD, MD
979 E 3rd St, Ste 300,
Chattanooga, TN 37403-2136
Ph: (423) 267-0466 | Dr Richard A Moore, PHD, MD
979 E 3rd St, Ste 300,
Chattanooga, TN 37403-2136
Ph: (423) 267-0466 |
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