Timothy D Moore, DO in O Fallon, MO - Medicare Family Practice

Timothy D Moore, DO is a medicare enrolled "Family Medicine" physician in O Fallon, Missouri. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Physician Groups Lc and his current practice location is 2630 Highway K, O Fallon, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 240-5454.

Timothy D Moore is licensed to practice in Missouri (license number 106405) 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 1396762910.

Contact Information

	Timothy D Moore, DO
	2630 Highway K, O Fallon, MO 63368-6624
	(636) 240-5454
	(636) 980-5335

Map and Direction

Physician's Profile

Full Name	Timothy D Moore
Gender	Male
Speciality	Family Practice
Experience	32 Years
Location	2630 Highway K, O Fallon, Missouri
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:

Timothy D Moore graduated from medical school in 1993

NPI Data:

NPI Number: 1396762910
Provider Enumeration Date: 07/17/2006
Last Update Date: 02/15/2021

Medicare PECOS Information:

PECOS PAC ID: 6901901883
Enrollment ID: I20070423000007

Medical Identifiers

Medical identifiers for Timothy D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396762910	NPI	-	NPPES
245208616	Medicaid	MO
1396762910	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	106405 (Missouri)	Secondary
207Q00000X	Family Medicine	106405 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Progress West Hospital	O fallon, MO	Hospital
Missouri Baptist Medical Center	Town and country, MO	Hospital
Barnes-jewish St Peters Hospital	Saint peters, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Groups Lc	3072421254	455

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. Timothy D Moore allows following entities to bill medicare on his behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20060302000596

Entity Name	Missouri Baptist Hospital Of Sullivan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295743169 PECOS PAC ID: 2668380148 Enrollment ID: O20060410000616

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. Timothy D 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
Timothy D Moore, DO 2630 Highway K, O Fallon, MO 63368-6624 Ph: (636) 240-5454	Timothy D Moore, DO 2630 Highway K, O Fallon, MO 63368-6624 Ph: (636) 240-5454

Reviews and Comments

Family Medicine Doctors in O Fallon, MO

Dr. Chandra K Wiewel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-4590 Fax: 636-669-2401
Amanda Heidemann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2630 Highway K, O Fallon, MO 63368 Phone: 636-980-5300 Fax: 636-980-5344
Ms. Betty Rachel Varghese, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 636-344-1151 Fax: 636-344-1176
Dr. Amy Colleen Mcclintock, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1074 Bryan Rd, O Fallon, MO 63366 Phone: 573-271-2927 Fax: 573-271-2928
John J. O'brien, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2630 Highway K, O Fallon, MO 63368 Phone: 636-240-5454 Fax: 618-980-5335
Dr. Amy Elizabeth Grawey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 E Pitman St, O Fallon, MO 63366 Phone: 636-875-1140 Fax: 636-898-1960
Sarah Marie Jackson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 120, O Fallon, MO 63366 Phone: 636-614-3280 Fax: 636-272-3680

Timothy D Moore, DO - Medicare Family Practice in O Fallon, MO