Dr Breanna Lynn Kimble Moore, PT, DPT in San Marcos, CA - Medicare Physical Therapist Provider

Dr Breanna Lynn Kimble Moore, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Marcos, California. Her current practice location is 1 Creekside Dr, San Marcos, California. You can reach out to her office (for appointments etc.) via phone at (619) 544-1055.

Dr Breanna Lynn Kimble Moore is licensed to practice in California (license number PT298095) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285248906.

Contact Information

	Dr Breanna Lynn Kimble Moore, PT, DPT
	1 Creekside Dr, San Marcos, CA 92078-2350
	(619) 544-1055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Breanna Lynn Kimble Moore
Gender	Female
Speciality	Physical Therapist
Location	1 Creekside Dr, San Marcos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285248906
Provider Enumeration Date: 09/01/2020
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8729420724
Enrollment ID: I20240522001744

Medical Identifiers

Medical identifiers for Dr Breanna Lynn Kimble Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285248906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT298095 (California)	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. Dr Breanna Lynn Kimble Moore allows following entities to bill medicare on her behalf.

Provider Name	Physical Therapy Effect Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659703502 PECOS PAC ID: 4385870062 Enrollment ID: O20131203000150

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 Breanna Lynn Kimble 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 Breanna Lynn Kimble Moore, PT, DPT 2120 Krystal Pl, Escondido, CA 92026-1800 Ph: (330) 416-4039	Dr Breanna Lynn Kimble Moore, PT, DPT 1 Creekside Dr, San Marcos, CA 92078-2350 Ph: (619) 544-1055

Reviews and Comments

Physical Therapist in San Marcos, CA

Twin Oaks Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Craven Rd, Suite Number 109, San Marcos, CA 92078 Phone: 760-752-8678 Fax: 760-471-7928
Mrs. Laurie June Steinecke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-5662
Proresults Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 Phone: 760-290-3121 Fax: 760-290-3126
Carolyn Jessica Chan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2115 Montiel Rd Ste 103, San Marcos, CA 92069 Phone: 760-839-2905 Fax: 760-839-2901
Lorraine Vivienne Levy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-5656
Alexis Noel Adiarte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 Rancheros Dr, Suite 150, San Marcos, CA 92069 Phone: 760-752-1011 Fax: 760-752-1311
Cecil Albert Brown Ii, Physical Therapist Medicare: Medicare Enrolled Practice Location: 637 Shenandoah Ave, San Marcos, CA 92078 Phone: 760-215-2797

Dr Breanna Lynn Kimble Moore, PT, DPT - Medicare Physical Therapist in San Marcos, CA