Stacey Denise Moore, MD is a medicare enrolled "Integrative Medicine" physician in Houston, Texas. She went to University Of Cincinnati College Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Knd Development 59 Llc and her current practice location is
5373 W Alabama St Ste 204, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 299-5229.
Stacey Denise Moore is licensed to practice in Texas (license number M8193) 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 1982887493.
Physician's Profile
| Full Name | Stacey Denise Moore |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 5373 W Alabama St Ste 204, Houston, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacey Denise Moore attended and graduated from University Of Cincinnati College Of Medicine in 2000
NPI Data:
- NPI Number: 1982887493
- Provider Enumeration Date: 12/07/2007
- Last Update Date: 05/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638239700
- Enrollment ID: I20081119000241
Medical Identifiers
Medical identifiers for Stacey Denise Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982887493 | NPI | - | NPPES |
| 196912302 | Medicaid | TX | |
| 8CA598 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086P0122X | | 206758 (California) | Secondary |
| 202D00000X | Integrative Medicine | D0105958 (Maryland) | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | M8193 (Texas) | Secondary |
| 2086P0122X | | D0105958 (Maryland) | Secondary |
| 2086P0122X | | 0101289204 (Virginia) | Secondary |
| 2086P0122X | | MD600005992 (District Of Columbia) | Secondary |
| 202D00000X | Integrative Medicine | 206758 (California) | Secondary |
| 202D00000X | Integrative Medicine | 61731 (Kentucky) | Secondary |
| 2086P0122X | | 35.154137 (Ohio) | Secondary |
| 202D00000X | Integrative Medicine | 0101289204 (Virginia) | Secondary |
| 2086P0122X | | M8193 (Texas) | Secondary |
| 2086P0122X | | 61731 (Kentucky) | Secondary |
| 202D00000X | Integrative Medicine | M8193 (Texas) | Primary |
| 202D00000X | Integrative Medicine | 35.154137 (Ohio) | Secondary |
| 2086P0122X | | 112023 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Knd Development 59 Llc | 3678602802 | 173 |
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. Stacey Denise Moore allows following entities to bill medicare on her behalf.
| Entity Name | Knd Development 59 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821327321
PECOS PAC ID: 3678602802
Enrollment ID: O20101013000177 |
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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. Stacey Denise 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 |
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Stacey Denise Moore, MD
20211 Cypresswood Estates Run,
Spring, TX 77373-3295
Ph: (832) 496-4855 | Stacey Denise Moore, MD
5373 W Alabama St Ste 204,
Houston, TX 77056-5923
Ph: (832) 299-5229 |
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