Mr Matthew Henry Moore, PA-C in Miami, OK - Medicare Physician Assistant

Mr Matthew Henry Moore, PA-C is a medicare enrolled "Physician Assistant" in Miami, Oklahoma. He graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northeastern Tribal Health System and his current practice location is 111 S Treaty Rd, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 540-1511.

Mr Matthew Henry Moore is licensed to practice in Oklahoma (license number 1732) 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 1700053394.

Contact Information

	Mr Matthew Henry Moore, PA-C
	111 S Treaty Rd, Miami, OK 74354
	(918) 540-1511
	(918) 542-7374

Map and Direction

Provider's Profile

Full Name	Mr Matthew Henry Moore
Gender	Male
Speciality	Physician Assistant
Experience	18 Years
Location	111 S Treaty Rd, Miami, Oklahoma
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:

Mr Matthew Henry Moore graduated from nursing school in 2007

NPI Data:

NPI Number: 1700053394
Provider Enumeration Date: 05/13/2008
Last Update Date: 01/07/2019

Medicare PECOS Information:

PECOS PAC ID: 6901972561
Enrollment ID: I20240405000867

Medical Identifiers

Medical identifiers for Mr Matthew Henry Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700053394	NPI	-	NPPES
200207110A	Medicaid	OK
100736700O	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1732 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integris Miami Hospital	Miami, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Tribal Health System	7911893854	19

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 Matthew Henry 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 Matthew Henry Moore, PA-C 111 S Treaty Rd, Miami, OK 74354-5327 Ph: (918) 540-1511	Mr Matthew Henry Moore, PA-C 111 S Treaty Rd, Miami, OK 74354 Ph: (918) 540-1511

Reviews and Comments

Physician Assistant Nurses in Miami, OK

Richard Clay Tessmer, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 South Treaty Road, Miami, OK 74354 Phone: 918-542-6644
Nichole Bateman Satterwhite, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw Ste 104, Miami, OK 74354 Phone: 918-540-7867 Fax: 918-540-7875
Larry L Walther, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21 W Central Ave, Miami, OK 74354 Phone: 918-542-3900 Fax: 918-542-3928
Thomas Nyota Kamumo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 310 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-540-7709
Kristin Stites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611
Amy Elizabeth Mercer, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 202 A St Sw, Miami, OK 74354 Phone: 918-541-9400 Fax: 918-541-9411

Mr Matthew Henry Moore, PA-C - Medicare Physician Assistant in Miami, OK