Mr Joseph Moore, PA is a medicare enrolled "Physician Assistant" in Quinton, Virginia. His current practice location is
1850 Pocahontas Trl, Quinton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 932-4388.
Mr Joseph Moore is licensed to practice in Virginia (license number 0110840202) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104823277.
Provider's Profile
| Full Name | Mr Joseph Moore |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1850 Pocahontas Trl, Quinton, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104823277
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 07/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294859104
- Enrollment ID: I20210526002193
Medical Identifiers
Medical identifiers for Mr Joseph Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104823277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 0110840202 (Virginia) | Primary |
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. Mr Joseph Moore allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group, LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
|---|
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. Mr Joseph 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 |
Mr Joseph Moore, PA 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 | Mr Joseph Moore, PA 1850 Pocahontas Trl, Quinton, VA 23141-1657 Ph: (804) 932-4388 |
Reviews and Comments