David K Moore Od Pllc is a medicare enrolled "Optometrist" provider in Radcliff, Kentucky. Their current practice location is
1165 Walmart Way, Radcliff, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(270) 351-3937.
David K Moore Od Pllc is licensed to practice in Kentucky (license number 1206DT) and it also participates in the medicare program. David K Moore Od Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629515630.
Healthcare Provider's Profile
Full Name | David K Moore Od Pllc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 1165 Walmart Way, Radcliff, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629515630
- Provider Enumeration Date: 01/28/2017
- Last Update Date: 01/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 1254615727
- Enrollment ID: O20170228002091
Medical Identifiers
Medical identifiers for David K Moore Od Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629515630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 1206DT (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
David K Moore Od Pllc acts as a billing entity for following providers:
Provider Name | David K Moore |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1871590596 PECOS PAC ID: 1254312697 Enrollment ID: I20040601000335 |
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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. David K Moore Od Pllc 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 |
David K Moore Od Pllc 1165 Walmart Way, Radcliff, KY 40160-1471 Ph: (270) 351-3937 | David K Moore Od Pllc 1165 Walmart Way, Radcliff, KY 40160-1471 Ph: (270) 351-3937 |
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