John Moore, in Hattiesburg, MS

John Moore, is a medicare enrolled "Urology" physician in Hattiesburg, Mississippi. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Urology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5888.

John Moore is licensed to practice in Mississippi (license number 26534) 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 1063824688.

Contact Information

	John Moore,
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 268-5888
	(601) 261-3587

Map and Direction

Physician's Profile

Full Name	John Moore
Gender	Male
Speciality	Urology
Experience	10 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Moore graduated from medical school in 2014

NPI Data:

NPI Number: 1063824688
Provider Enumeration Date: 06/02/2014
Last Update Date: 07/08/2020

Medicare PECOS Information:

PECOS PAC ID: 3072739630
Enrollment ID: I20190817000049

Medical Identifiers

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

Identifier	Type	State	Issuer
1063824688	NPI	-	NPPES
04421823	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	ME124782 (Florida)	Secondary
208800000X	Urology	19690 (Florida)	Secondary
208800000X	Urology	26534 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital
Marion General Hospital	Columbia, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	489

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. John Moore allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. John 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
John Moore, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5888	John Moore, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5888

Reviews and Comments

Urology Doctors in Hattiesburg, MS

Dr. Hal T Liddell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 139 Fairfield Dr, Hattiesburg, MS 39402 Phone: 601-450-2401 Fax: 601-450-2433
Sean Philip Douglas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-579-5240
Dr. Nathan P Shappley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 101 Aldersgate Cir, Hattiesburg, MS 39402 Phone: 601-261-5800 Fax: 601-261-5813
Bradley N Secrest, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587
Woodie J Wilson Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587
David C Stout, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4 Pebble Crk, Hattiesburg, MS 39402 Phone: 601-261-9323

John Moore, - Medicare Urology in Hattiesburg, MS