Omar Jishi Moore, MD is a medicare enrolled "Psychiatry & Neurology - Clinical Neurophysiology" physician in Bartlett, Illinois. He went to University Of Florida College Of Medicine and graduated in 2014 and has 12 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Florida Seizure Doc Pllc, Monitoring Associates Llc, Monitoring Associates Llc, Florida Seizure Doc Pllc and his current practice location is
1981 Angelica Ln, Bartlett, Illinois. You can reach out to his office (for appointments etc.) via phone at
(855) 864-4322.
Omar Jishi Moore is licensed to practice in Florida (license number ME13426) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487072245.
Physician's Profile
| Full Name | Omar Jishi Moore |
|---|
| Gender | Male |
|---|
| Speciality | Neurology |
|---|
| Experience | 12 Years |
|---|
| Location | 1981 Angelica Ln, Bartlett, Illinois |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Omar Jishi Moore attended and graduated from University Of Florida College Of Medicine in 2014
NPI Data:
- NPI Number: 1487072245
- Provider Enumeration Date: 03/30/2014
- Last Update Date: 02/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 2769780188
- Enrollment ID: I20210819000313
Medical Identifiers
Medical identifiers for Omar Jishi Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487072245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2021-01752 (North Carolina) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 44297 (Alabama) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD-49933 (Iowa) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 92255 (Georgia) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | ME13426 (Florida) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | C0733 (Kentucky) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2023017851 (Missouri) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 330900 (Louisiana) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 04-46192 (Kansas) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 036146539 (Illinois) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | EMC0001993 (Michigan) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | T9017 (Texas) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 30235 (Mississippi) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 01090166A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Florida Seizure Doc Pllc | 5395150437 | 7 |
| Monitoring Associates Llc | 8921314923 | 12 |
| Monitoring Associates Llc | 8921314923 | 12 |
| Florida Seizure Doc Pllc | 5395150437 | 7 |
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. Omar Jishi Moore allows following entities to bill medicare on his behalf.
| Entity Name | Florida Seizure Doc Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1184215006
PECOS PAC ID: 5395150437
Enrollment ID: O20210819000246 |
|---|
| Entity Name | Monitoring Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1174916522
PECOS PAC ID: 8921314923
Enrollment ID: O20240701001578 |
|---|
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. Omar Jishi 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 |
|---|
Omar Jishi Moore, MD
7807 Baymeadows Rd E Ste 303,
Jacksonville, FL 32256-9667
Ph: (904) 204-6585 | Omar Jishi Moore, MD
1981 Angelica Ln,
Bartlett, IL 60103-2308
Ph: (855) 864-4322 |
Reviews and Comments