Lisa Moore, in Culver City, CA - Medicare Family Practice

Lisa Moore, is a medicare enrolled "Family Medicine" physician in Culver City, California. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Venice Family Clinic and her current practice location is 4700 Inglewood Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (310) 392-8636.

Lisa Moore is licensed to practice in California (license number A173679) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063827343.

Contact Information

	Lisa Moore,
	4700 Inglewood Blvd, Culver City, CA 90230-5896
	(310) 392-8636
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa Moore
Gender	Female
Speciality	Family Practice
Experience	10 Years
Location	4700 Inglewood Blvd, Culver City, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Moore attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2014

NPI Data:

NPI Number: 1063827343
Provider Enumeration Date: 06/25/2014
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8224330105
Enrollment ID: I20240202002531

Medical Identifiers

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

Identifier	Type	State	Issuer
1063827343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A173679 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Venice Family Clinic	2264339126	47

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. Lisa Moore allows following entities to bill medicare on her behalf.

Entity Name	Venice Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082

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. Lisa 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
Lisa Moore, 2050 Pfingsten Rd, Glenview, IL 60026-1324 Ph: () -	Lisa Moore, 4700 Inglewood Blvd, Culver City, CA 90230-5896 Ph: (310) 392-8636

Reviews and Comments

Family Medicine Doctors in Culver City, CA

Elham Ghadishah, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3831 Hughes Ave, Suite 708, Culver City, CA 90232 Phone: 323-936-8800 Fax: 310-441-7739
Dr. David Louis Schechter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10811 Washington Blvd, Suite 250, Culver City, CA 90232 Phone: 310-836-2225 Fax: 310-694-9814
Angela Y Mosby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 Sepulveda Blvd Ste 2660, Culver City, CA 90230 Phone: 310-313-0020 Fax: 310-313-0060
Yasaman Omidvar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5901 Green Valley Cir Ste 405, Culver City, CA 90230 Phone: 424-266-7474 Fax: 310-596-8268
Mark Kurzman, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5901 Green Valley Cir Ste 405, Culver City, CA 90230 Phone: 244-266-7474
Mrs. Ada Elena Del Rivero Yamuy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3831 Hughes Ave, Suite 101, Culver City, CA 90232 Phone: 310-204-0104 Fax: 310-204-0171

Lisa Moore, - Medicare Family Practice in Culver City, CA