Bryan Russell Moore, PAA in Marietta, GA - Medicare Anesthesiology Assistant

Bryan Russell Moore, PAA is a medicare enrolled "Physician Assistant" in Marietta, Georgia. He went to Emory University School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 644-1274.

Bryan Russell Moore is licensed to practice in Georgia (license number 003912) 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 1356388433.

Contact Information

	Bryan Russell Moore, PAA
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(470) 644-1274
	(470) 644-1119

Map and Direction

Provider's Profile

Full Name	Bryan Russell Moore
Gender	Male
Speciality	Anesthesiology Assistant
Experience	23 Years
Location	2540 Windy Hill Rd Se, Marietta, Georgia
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:

Bryan Russell Moore attended and graduated from Emory University School Of Medicine in 2002

NPI Data:

NPI Number: 1356388433
Provider Enumeration Date: 05/31/2006
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4880634898
Enrollment ID: I20050510000267

Medical Identifiers

Medical identifiers for Bryan Russell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356388433	NPI	-	NPPES
100002267C	Medicaid	GA
P00221726	Other	GA	RAILROAD MEDICARE
100002267B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	003912 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group Llc	6709065402	2734

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. Bryan Russell Moore allows following entities to bill medicare on his behalf.

Entity Name	Georgia Group Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Redmond Anesthesia And Pain Treatment, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821350984 PECOS PAC ID: 4880841741 Enrollment ID: O20120828000499

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. Bryan Russell 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
Bryan Russell Moore, PAA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274	Bryan Russell Moore, PAA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274

Reviews and Comments

Physician Assistant Nurses in Marietta, GA

Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771
Yumei Manzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100
Jonathan Collier Stone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584
Raajan Raja Arulampalam, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Mr. Reyes Torres Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne, Suite 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-424-2024

Bryan Russell Moore, PAA - Medicare Anesthesiology Assistant in Marietta, GA