Duane Moore, MD in Saint Louis, MO - Medicare Emergency Medicine

Duane Moore, MD is a medicare enrolled "Emergency Medicine" physician in Saint Louis, Missouri. His current practice location is 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 577-8776.

Duane Moore is licensed to practice in Missouri (license number 2005011345) 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 1700973435.

Contact Information

	Duane Moore, MD
	3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539
	(314) 577-8776
	(314) 268-5697

Map and Direction

Physician's Profile

Full Name	Duane Moore
Gender	Male
Speciality	Emergency Medicine
Location	3635 Vista Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700973435
Provider Enumeration Date: 10/06/2006
Last Update Date: 10/16/2014

Medicare PECOS Information:

PECOS PAC ID: 8224072103
Enrollment ID: I20050613000035

Medical Identifiers

Medical identifiers for Duane Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700973435	NPI	-	NPPES
P00273332	Other	MO	RR MEDICARE
207197302	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2005011345 (Missouri)	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. Duane Moore allows following entities to bill medicare on his behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Duane 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
Duane Moore, MD 3691 Rutger St, Provider Enrollment, Saint Louis, MO 63110-2515 Ph: (314) 977-6828	Duane Moore, MD 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 Ph: (314) 577-8776

Reviews and Comments

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Duane Moore, MD - Medicare Emergency Medicine in Saint Louis, MO