Richard James Moore, DO - Medicare Family Practice in Bonifay, FL

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Richard James Moore, DO is a medicare enrolled "Family Medicine" physician in Bonifay, Florida. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Vincent's Ambulatory Care Inc and his current practice location is 1702 S Waukesha St, Bonifay, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 547-9991.

Richard James Moore is licensed to practice in Florida (license number OS 12696) 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 1902167232.

Contact Information

Richard James Moore, DO
1702 S Waukesha St,
Bonifay, FL 32425-3114
(850) 547-9991
(888) 730-6946

Map and Direction




Physician's Profile

Full NameRichard James Moore
GenderMale
SpecialityFamily Practice
Experience13 Years
Location1702 S Waukesha St, Bonifay, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard James Moore attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2012
  NPI Data:
  • NPI Number: 1902167232
  • Provider Enumeration Date: 06/04/2012
  • Last Update Date: 09/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779896642
  • Enrollment ID: I20150721002162

Medical Identifiers

Medical identifiers for Richard James Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902167232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine UO 3229 (Florida)Secondary
207Q00000XFamily Medicine OS 12696 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent's RiversideJacksonville, FLHospital
Ascension St Vincent's Clay CountyMiddleburg, FLHospital
Ascension St Vincent's SouthsideJacksonville, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent's Ambulatory Care Inc2860411188255

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. Richard James Moore allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameContini Family Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316314305
PECOS PAC ID: 6204131709
Enrollment ID: O20160222000903

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. Richard James 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 AddressPractice Location Address
Richard James Moore, DO
1702 S Waukesha St,
Bonifay, FL 32425-3114

Ph: (850) 547-9991		Richard James Moore, DO
1702 S Waukesha St,
Bonifay, FL 32425-3114

Ph: (850) 547-9991

Reviews and Comments


Family Medicine Doctors in Bonifay, FL

Ahmad Tariq Ismail, MD
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Phone: 850-547-4799    Fax: 850-547-2305
Dr. Oliver Martin Hasek Jr., MD
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Practice Location: 2600 Hospital Dr, Bonifay, FL 32425
Phone: 850-547-8000    
Leonel P Welch Basulto, MD
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Practice Location: 3269 Highway 90, Bonifay, FL 32425
Phone: 850-547-9991    Fax: 850-547-9992
Kyle Vincent Contini, M.D.
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Practice Location: 3269 Highway 90, Bonifay, FL 32425
Phone: 850-547-9991    Fax: 888-730-6946
Marietta Elise Solomon, APRN
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Medicare: Medicare Enrolled
Practice Location: 3269 Highway 90, Bonifay, FL 32425
Phone: 850-547-9991    Fax: 850-547-9992
Osama Shuaib Ismail, MD
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Medicare: Medicare Enrolled
Practice Location: 110 E Byrd Ave, Bonifay, FL 32425
Phone: 850-547-4799    
Patrick L Hawkins, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3120 Southride Lane, Bonifay, FL 32425
Phone: 850-547-4440    Fax: 850-547-4441

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.