Dr Tyler Scott Moore, DO is a medicare enrolled "Family Medicine" physician in Farmville, North Carolina. His current practice location is
3681 N Main St, Farmville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 753-7141.
Dr Tyler Scott Moore is licensed to practice in North Carolina (license number 2024-02192) 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 1508507310.
Physician's Profile
Full Name | Dr Tyler Scott Moore |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 3681 N Main St, Farmville, North Carolina |
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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: 1508507310
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062893266
- Enrollment ID: I20220719003742
Medical Identifiers
Medical identifiers for Dr Tyler Scott Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508507310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2024-02192 (North Carolina) | 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 Tyler Scott 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 Tyler Scott Moore, DO 1850 W Arlington Blvd, Greenville, NC 27834-5704 Ph: (252) 413-6641 | Dr Tyler Scott Moore, DO 3681 N Main St, Farmville, NC 27828-1464 Ph: (252) 753-7141 |
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