Matthew Macahan Moore, is a
Student In An Organized Health Care Education/training Program physician based in Valhalla, New York. Matthew Macahan Moore is licensed to practice in * (Not Available) (license number ) and his current practice location is 100 Woods Rd, Valhalla, New York. He can be reached at his office (for appointments etc.) via phone at
(914) 493-7000.
NPI number for Matthew Macahan Moore is 1528647955 and his current mailing address is 1001 Highway 578, East Bernstadt, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528647955.
Physician's Profile
Full Name | Matthew Macahan Moore |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 100 Woods Rd, Valhalla, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528647955
- Provider Enumeration Date: 04/04/2021
- Last Update Date: 02/15/2025
Medical Identifiers
Medical identifiers for Matthew Macahan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528647955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 332962-01 (New York) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Matthew Macahan Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Matthew Macahan Moore, 1001 Highway 578, East Bernstadt, KY 40729-7216 Ph: (606) 231-7510 | Matthew Macahan Moore, 100 Woods Rd, Valhalla, NY 10595-1530 Ph: (914) 493-7000 |
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