Tamara Lynn Moore, MD in Shreveport, LA

Tamara Lynn Moore, MD is a medicare enrolled "Pediatrics" physician in Shreveport, Louisiana. Her current practice location is 909 Olive St, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 698-3291.

Tamara Lynn Moore is licensed to practice in Louisiana (license number MD.208034) 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 1497011001.

Contact Information

	Tamara Lynn Moore, MD
	909 Olive St, Shreveport, LA 71104-2103
	(318) 698-3291
	(318) 698-3293

Map and Direction

Physician's Profile

Full Name	Tamara Lynn Moore
Gender	Female
Speciality	Pediatrics
Location	909 Olive St, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497011001
Provider Enumeration Date: 04/09/2012
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9931596434
Enrollment ID: I20220502002431

Medical Identifiers

Medical identifiers for Tamara Lynn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497011001	NPI	-	NPPES
2188852	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD.208034 (Louisiana)	Primary

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. Tamara Lynn Moore allows following entities to bill medicare on her behalf.

Entity Name	Wk Pediatric Health & Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063072197 PECOS PAC ID: 4183052111 Enrollment ID: O20200325000769

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. Tamara Lynn 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
Tamara Lynn Moore, MD 909 Olive St, Shreveport, LA 71104-2103 Ph: (318) 698-3291	Tamara Lynn Moore, MD 909 Olive St, Shreveport, LA 71104-2103 Ph: (318) 698-3291

Reviews and Comments

Pediatrics Doctors in Shreveport, LA

Shaheena Anene, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Uday Kumar Chalwadi, Pediatrics Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Lea Bonifacio Penales, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118 Phone: 318-212-5970 Fax: 318-212-5975
Marco Quispe Leveau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000
Amanda Bradshaw Raney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7045 Youree Dr, Shreveport, LA 71105 Phone: 318-798-3763 Fax: 318-797-0645
Martha M Whyte, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Mary Pl, Shreveport, LA 71101 Phone: 318-227-4658 Fax: 318-424-6606
Dr. Stephanie Boyd Henson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Fairfield Ave, Suite 201, Shreveport, LA 71101 Phone: 318-848-2810 Fax: 318-848-2815

Tamara Lynn Moore, MD - Medicare Pediatrics in Shreveport, LA