Andrew Marc Moore, - Medicare Physician Assistant in Beavercreek, OH

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Andrew Marc Moore, is a medicare enrolled "Physician Assistant" in Beavercreek, Ohio. He went to Lincoln Memorial University Medical Department and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 3535 Pentagon Blvd, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 702-4024.

Andrew Marc Moore is licensed to practice in Ohio (license number 50.005821RX) 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 1710462734.

Contact Information

Andrew Marc Moore,
3535 Pentagon Blvd,
Beavercreek, OH 45431-1705
(937) 702-4024
(937) 702-4035

Map and Direction




Provider's Profile

Full NameAndrew Marc Moore
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location3535 Pentagon Blvd, Beavercreek, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Marc Moore attended and graduated from Lincoln Memorial University Medical Department in 2018
  NPI Data:
  • NPI Number: 1710462734
  • Provider Enumeration Date: 09/25/2018
  • Last Update Date: 01/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688824683
  • Enrollment ID: I20190523001276

Medical Identifiers

Medical identifiers for Andrew Marc Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710462734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 3688 (Tennessee)Secondary
363A00000XPhysician Assistant 50.005821RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Soin Medical CenterBeaver creek, OHHospital
Kettering Health Greene MemorialXenia, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936699

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. Andrew Marc Moore allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Andrew Marc 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 AddressPractice Location Address
Andrew Marc Moore,
2105 Sherbrooke Ln,
Nashville, TN 37211-7029

Ph: (865) 776-8490		Andrew Marc Moore,
3535 Pentagon Blvd,
Beavercreek, OH 45431-1705

Ph: (937) 702-4024

Reviews and Comments


Physician Assistant Nurses in Beavercreek, OH

Amanda Yun Anania, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431
Phone: 937-757-9449    Fax: 937-702-4944
Emily Grace Trompak (o'neal), PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Pentagon Blvd, Beavercreek, OH 45431
Phone: 937-702-4450    Fax: 937-702-4459
Sarah Gould, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431
Phone: 937-429-0607    Fax: 937-429-0608
Caitlin Riley Flynn, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3572 Dayton Xenia Rd Ste 105, Beavercreek, OH 45432
Phone: 937-427-4600    
Breanne Henderson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 42 Woodcroft Trl, Beavercreek, OH 45430
Phone: 937-429-0682    
Kelly Bultman,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431
Phone: 513-833-4912    
Michelle A Ortman, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440
Phone: 937-320-5050    Fax: 937-320-5060

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.