George Moore, is a medicare enrolled "Family Medicine" physician in Mc Coll, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Caresouth Carolina Inc. and his current practice location is
225 S Main St, Mc Coll, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 523-5751.
George Moore is licensed to practice in South Carolina (license number 5711) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457464554.
Physician's Profile
| Full Name | George Moore |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 55 Years |
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| Location | 225 S Main St, Mc Coll, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- George Moore attended and graduated from Medical University Of South Carolina College Of Medicine in 1969
NPI Data:
- NPI Number: 1457464554
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 09/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 0143206318
- Enrollment ID: I20040628001074
Medical Identifiers
Medical identifiers for George Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457464554 | NPI | - | NPPES |
| 057119 | Medicaid | SC | |
| P00169807 | Other | SC | RAILROAD MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5711 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Caresouth Carolina Inc. | 1052221314 | 50 |
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. George Moore allows following entities to bill medicare on his behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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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. George 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 |
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George Moore,
225 S Main St,
Mc Coll, SC 29570-2020
Ph: () - | George Moore,
225 S Main St,
Mc Coll, SC 29570-2020
Ph: (843) 523-5751 |
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