Tim J Moore, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Taos, New Mexico. He went to University Of Washington School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Taos Professional Services,llc and his current practice location is
1329 Gusdorf Rd, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 758-5001.
Tim J Moore is licensed to practice in New Mexico (license number MD2008-0111) 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 1730147497.
Physician's Profile
Full Name | Tim J Moore |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 38 Years |
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Location | 1329 Gusdorf Rd, Taos, New Mexico |
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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:
- Tim J Moore attended and graduated from University Of Washington School Of Medicine in 1986
NPI Data:
- NPI Number: 1730147497
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 02/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 3971558487
- Enrollment ID: I20080903000457
Medical Identifiers
Medical identifiers for Tim J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730147497 | NPI | - | NPPES |
3125165 | Medicaid | MA | |
60122838 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | MD2008-0111 (New Mexico) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Taos Professional Services,llc | 6507019924 | 15 |
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. Tim J Moore allows following entities to bill medicare on his behalf.
Entity Name | Taos Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
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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. Tim J 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 |
Tim J Moore, MD 1329 Gusdorf Rd, Taos, NM 87571 Ph: (575) 758-5001 | Tim J Moore, MD 1329 Gusdorf Rd, Taos, NM 87571 Ph: (575) 758-5001 |
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