Ellen Moore, MD in Hudsonville, MI - Medicare Family Medicine

Ellen Moore, MD is a medicare enrolled "Family Medicine" physician in Hudsonville, Michigan. Her current practice location is 3912 32nd Ave, Hudsonville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 252-8700.

Ellen Moore is licensed to practice in Michigan (license number 4351027347) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992299515.

Contact Information

	Ellen Moore, MD
	3912 32nd Ave, Hudsonville, MI 49426-8460
	(616) 252-8700
	(616) 252-8750

Map and Direction

Physician's Profile

Full Name	Ellen Moore
Gender	Female
Speciality	Family Medicine
Location	3912 32nd Ave, Hudsonville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992299515
Provider Enumeration Date: 06/18/2018
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7810245180
Enrollment ID: I20210805000727

Medical Identifiers

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

Identifier	Type	State	Issuer
1992299515	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301115010 (Michigan)	Secondary
207Q00000X	Family Medicine	4351027347 (Michigan)	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. Ellen Moore allows following entities to bill medicare on her behalf.

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

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. Ellen 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
Ellen Moore, MD 3912 32nd Ave, Hudsonville, MI 49426-8460 Ph: (616) 252-8700	Ellen Moore, MD 3912 32nd Ave, Hudsonville, MI 49426-8460 Ph: (616) 252-8700

Reviews and Comments

Family Medicine Doctors in Hudsonville, MI

Steven J Verkaik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296
Mrs. Lindsay Grace Israels, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2917 Port Sheldon St, Hudsonville, MI 49426 Phone: 616-252-5437
Mary Thu Van Nguyen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238
Dr. Karen M Dempsey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 32nd Ave, Hudsonville, MI 49426 Phone: 616-662-2011 Fax: 616-662-2222
Steven C Vannoord, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 Fax: 616-252-8750
Dr. Russell E Dempsey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 32nd Ave, Hudsonville, MI 49426 Phone: 616-662-2011 Fax: 616-662-2222
John Dykstra, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 Fax: 616-252-8750

Ellen Moore, MD - Medicare Family Medicine in Hudsonville, MI