Mira Moore, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Martinez, California. Her current practice location is
2500 Alhambra Ave, Martinez, California. You can reach out to her office (for appointments etc.) via phone at
(707) 206-8181.
Mira Moore is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770269763.
Physician's Profile
| Full Name | Mira Moore |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2500 Alhambra Ave, Martinez, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770269763
- Provider Enumeration Date: 06/23/2023
- Last Update Date: 01/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 8426403171
- Enrollment ID: I20231016002154
Medical Identifiers
Medical identifiers for Mira Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770269763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | A206362 (California) | 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. Mira 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 |
Mira Moore, MD 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (707) 206-8181 | Mira Moore, MD 2500 Alhambra Ave, Martinez, CA 94553-3156 Ph: (707) 206-8181 |
Reviews and Comments