Justin Boone Moore, MD - Medicare Emergency Medicine in Jackson, MS

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Justin Boone Moore, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Department Of Emergency Medicine, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-5570.

Justin Boone Moore is licensed to practice in Mississippi (license number T-2340) 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 1174766638.

Contact Information

Justin Boone Moore, MD
2500 N State St, Department Of Emergency Medicine,
Jackson, MS 39216-4500
(601) 984-5570
Not Available

Map and Direction




Physician's Profile

Full NameJustin Boone Moore
GenderMale
SpecialityEmergency Medicine
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174766638
  • Provider Enumeration Date: 04/14/2009
  • Last Update Date: 07/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0648446567
  • Enrollment ID: I20111227000386

Medical Identifiers

Medical identifiers for Justin Boone Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174766638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine T-2340 (Mississippi)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. Justin Boone Moore allows following entities to bill medicare on his behalf.
Entity NameWebster Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245209527
PECOS PAC ID: 2961448170
Enrollment ID: O20050628000996
Entity NameSound Physicians Emergency Medicine Of Louisiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396253407
PECOS PAC ID: 1759642739
Enrollment ID: O20180308001149
Entity NameHighland Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154913861
PECOS PAC ID: 6800295890
Enrollment ID: O20210524002901

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. Justin Boone 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 AddressPractice Location Address
Justin Boone Moore, MD
2500 N State St, Department Of Emergency Medicine,
Jackson, MS 39216-4500

Ph: (601) 984-5570		Justin Boone Moore, MD
2500 N State St, Department Of Emergency Medicine,
Jackson, MS 39216-4500

Ph: (601) 984-5570

Reviews and Comments


Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    
Dr. Melanie Fox, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Dr. Gabriel William Tonkin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216
Phone: 601-984-5582    
John C Brooks, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-982-6001    Fax: 601-982-8616
Bob Hutchins,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 911 Ellis Ave, Jackson, MS 39209
Phone: 601-533-7016    
Lana Ngoc Phan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    
Jeremy James Benoit, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5582    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.