Ms Mariah T Moore, MD is a medicare enrolled "Family Medicine" physician in Alexandria, Kentucky. She went to University Of Louisville School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summit Medical Group Inc and her current practice location is
300 Commercial Dr, Alexandria, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 635-9440.
Ms Mariah T Moore is licensed to practice in Kentucky (license number 59821) 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 1851954390.
Physician's Profile
| Full Name | Ms Mariah T Moore |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 4 Years |
|---|
| Location | 300 Commercial Dr, Alexandria, Kentucky |
|---|
| 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:
- Ms Mariah T Moore attended and graduated from University Of Louisville School Of Medicine in 2021
NPI Data:
- NPI Number: 1851954390
- Provider Enumeration Date: 04/19/2019
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618379223
- Enrollment ID: I20241106002025
Medical Identifiers
Medical identifiers for Ms Mariah T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851954390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 59821 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group Inc | 2163326240 | 756 |
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. Ms Mariah T Moore allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
|---|
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. Ms Mariah T 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 |
|---|
Ms Mariah T Moore, MD
Po Box 635283,
Cincinnati, OH 45263-5283
Ph: (859) 635-9440 | Ms Mariah T Moore, MD
300 Commercial Dr,
Alexandria, KY 41001-2107
Ph: (859) 635-9440 |
Reviews and Comments