Jason Robert Moore, DPT, DO is a medicare enrolled "Emergency Medicine" provider in Tulsa, Oklahoma. His current practice location is
744 W 9th St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 599-1000.
Jason Robert Moore is licensed to practice in Oklahoma (license number 6450) 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 1902037104.
Healthcare Provider's Profile
| Full Name | Jason Robert Moore |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 744 W 9th St, Tulsa, Oklahoma |
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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: 1902037104
- Provider Enumeration Date: 08/05/2009
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3274679675
- Enrollment ID: I20181003003177
Medical Identifiers
Medical identifiers for Jason Robert Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902037104 | NPI | - | NPPES |
| 10025780200 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 2452 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 6450 (Oklahoma) | 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. Jason Robert Moore allows following entities to bill medicare on his behalf.
| Provider Name | Farmers Union Hospital Association |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184639122
PECOS PAC ID: 7517949415
Enrollment ID: O20040603001383 |
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| Provider Name | Emergency Physicians Of Midwest City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1558386474
PECOS PAC ID: 7911960844
Enrollment ID: O20041110001156 |
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| Provider Name | Emergency Services Of Oklahoma Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1215249891
PECOS PAC ID: 8123209012
Enrollment ID: O20110225000085 |
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| Provider Name | Oklahoma Emergency Physician Partners Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891039764
PECOS PAC ID: 0345493649
Enrollment ID: O20130118000115 |
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| Provider Name | Oklahoma State University |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700994878
PECOS PAC ID: 2769739358
Enrollment ID: O20180730000192 |
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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. Jason Robert 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 |
|---|
Jason Robert Moore, DPT, DO
744 W 9th St,
Tulsa, OK 74127-9020
Ph: (918) 599-1000 | Jason Robert Moore, DPT, DO
744 W 9th St,
Tulsa, OK 74127-9020
Ph: (918) 599-1000 |
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