Douglas Bernard Moore, PA-C in Tacoma, WA - Medicare Physician Assistant

Douglas Bernard Moore, PA-C is a medicare enrolled "Physician Assistant" in Tacoma, Washington. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Tra-minw P S, Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance and his current practice location is 1304 Fawcett Ave, Suite 100, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 761-4200.

Douglas Bernard Moore is licensed to practice in Washington (license number PA10005095) 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 1790853422.

Contact Information

	Douglas Bernard Moore, PA-C
	1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911
	(253) 761-4200
	(253) 383-3553

Map and Direction

Provider's Profile

Full Name	Douglas Bernard Moore
Gender	Male
Speciality	Physician Assistant
Experience	18 Years
Location	1304 Fawcett Ave, Tacoma, Washington
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:

Douglas Bernard Moore graduated from nursing school in 2006

NPI Data:

NPI Number: 1790853422
Provider Enumeration Date: 12/01/2006
Last Update Date: 01/31/2017

Medicare PECOS Information:

PECOS PAC ID: 5294735668
Enrollment ID: I20070109000136

Medical Identifiers

Medical identifiers for Douglas Bernard Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790853422	NPI	-	NPPES
0215666	Other	WA	LABOR AND INDUSTRIES-TRA
8862653	Other	WA	MEDICARE PIN-TRA KING
8943157	Other	WA	LABOR AND INDUSTRIES CRIME VICTIMS-TRA
P00428602	Other	WA	RR MEDICARE-TRA
8862652	Other	WA	MEDICARE PIN-TRA PIERCE
8862654	Other	WA	MEDICARE PIN-UNION AVENUE OPEN MRI
0249530	Other	WA	LABOR AND INDUSTRIES-MEDICAL IMAGING ON 1ST
8951854	Other	WA	LABOR AND INDUSTRIES CRIME VICTIMS-MEDICAL IMAGING ON 1ST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA10005095 (Washington)	Secondary
363A00000X	Physician Assistant	PA10005095 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital
St Joseph Medical Center	Tacoma, WA	Hospital
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital
St Francis Community Hospital	Federal way, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tra-minw P S	2163316167	123
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance	3375603970	93

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. Douglas Bernard 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
Douglas Bernard Moore, PA-C Po Box 1535, Tacoma, WA 98401-1535 Ph: (253) 761-4200	Douglas Bernard Moore, PA-C 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402-1911 Ph: (253) 761-4200

Reviews and Comments

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Douglas Bernard Moore, PA-C - Medicare Physician Assistant in Tacoma, WA