Vickie S Moore, MD is a medicare enrolled "Family Medicine" physician in Gatlinburg, Tennessee. Her current practice location is
815 East Parkway, Suite #7, Gatlinburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 436-2811.
Vickie S Moore is licensed to practice in Tennessee (license number MD0000014031) 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 1861607194.
Physician's Profile
| Full Name | Vickie S Moore |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 815 East Parkway, Gatlinburg, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861607194
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5092976514
- Enrollment ID: I20120410000615
Medical Identifiers
Medical identifiers for Vickie S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861607194 | NPI | - | NPPES |
| 4378288 | Other | TN | AETNA |
| 0072043 | Other | TN | BCBS |
| 7068691 | Other | TN | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | MD0000014031 (Tennessee) | Primary |
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. Vickie S 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 |
Vickie S Moore, MD 815 East Parkway, Suite #7, Gatlinburg, TN 37738-4915 Ph: (865) 436-2811 | Vickie S Moore, MD 815 East Parkway, Suite #7, Gatlinburg, TN 37738-4915 Ph: (865) 436-2811 |
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