George W Moore, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Glastonbury, Connecticut. His current practice location is
96 Martin Ter, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 633-9769.
George W Moore is licensed to practice in Connecticut (license number 041646) 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 1851340046.
Physician's Profile
| Full Name | George W Moore |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 96 Martin Ter, Glastonbury, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851340046
- Provider Enumeration Date: 05/08/2006
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759394521
- Enrollment ID: I20060720000353
Medical Identifiers
Medical identifiers for George W Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851340046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 041646 (Connecticut) | 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. George W Moore allows following entities to bill medicare on his behalf.
| Entity Name | University Of Connecticut Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720083769
PECOS PAC ID: 3678472016
Enrollment ID: O20040106000105 |
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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 W 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 W Moore, MD
263 Farmington Ave,
Farmington, CT 06030-0001
Ph: (860) 679-2893 | George W Moore, MD
96 Martin Ter,
Glastonbury, CT 06033-2708
Ph: (860) 633-9769 |
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