Dr Clayton Moore, DO, PHARMD, PA-C is a medicare enrolled "Emergency Medicine" provider in Newport News, Virginia. His current practice location is
500 J Clyde Morris Blvd, Newport News, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 594-2000.
Dr Clayton Moore is licensed to practice in North Carolina (license number 0010-07792) 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 1073938577.
Healthcare Provider's Profile
| Full Name | Dr Clayton Moore |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 500 J Clyde Morris Blvd, Newport News, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073938577
- Provider Enumeration Date: 02/20/2014
- Last Update Date: 06/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204198120
- Enrollment ID: I20180313000442
Medical Identifiers
Medical identifiers for Dr Clayton Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073938577 | NPI | - | NPPES |
| 222426 | Other | NC | NC STATE LICENSE NUMBER- PHARMACY |
| 0010-07792 | Other | NC | NC PA LICENSE NUMBER |
| 0116040824 | Other | VA | VIRGINIA INTERN/RESIDENT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 22426 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-07792 (North Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 0010-07792 (North Carolina) | Primary |
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. Dr Clayton 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 |
|---|
Dr Clayton Moore, DO, PHARMD, PA-C
500 J Clyde Morris Blvd,
Newport News, VA 23601-1929
Ph: (757) 594-2000 | Dr Clayton Moore, DO, PHARMD, PA-C
500 J Clyde Morris Blvd,
Newport News, VA 23601-1929
Ph: (757) 594-2000 |
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