Dr Tyler Scott Moore, DO is a medicare enrolled "Family Medicine" physician in Farmville, North Carolina. He went to Campbell Univ School Of Osteopathic Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Comprehensive Rehab Of Wilson, Inc., Proactive Therapy Of North Carolina Inc, Physicians East Pa and 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 Practice |
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| Experience | 4 Years |
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| Location | 3681 N Main St, Farmville, North Carolina |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyler Scott Moore attended and graduated from Campbell Univ School Of Osteopathic Medicine in 2022
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: I20250721000557
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 |
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| 207Q00000X | Family Medicine | 2024-02192 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Comprehensive Rehab Of Wilson, Inc. | 2668377375 | 119 |
| Proactive Therapy Of North Carolina Inc | 6305753120 | 557 |
| Physicians East Pa | 1850284571 | 105 |
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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