John Moore, in Lake Wylie, SC - Medicare Physical Therapy Provider

John Moore, is a medicare enrolled "Physical Therapist" provider in Lake Wylie, South Carolina. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Ivyrehab North Carolina Llc and his current practice location is 439 Channel Rd Ste 102, Lake Wylie, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 746-7800.

John Moore is licensed to practice in South Carolina (license number 9041) 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 1265849483.

Contact Information

	John Moore,
	439 Channel Rd Ste 102, Lake Wylie, SC 29710
	(803) 746-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	John Moore
Gender	Male
Speciality	Physical Therapy
Experience	10 Years
Location	439 Channel Rd Ste 102, Lake Wylie, South Carolina
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:

John Moore graduated from medical school in 2014

NPI Data:

NPI Number: 1265849483
Provider Enumeration Date: 07/21/2014
Last Update Date: 01/04/2019

Medicare PECOS Information:

PECOS PAC ID: 8527285758
Enrollment ID: I20161219000689

Medical Identifiers

Medical identifiers for John Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265849483	NPI	-	NPPES
P01381928	Other	KY	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	006430 (Kentucky)	Secondary
225100000X	Physical Therapist	014731 (Ohio)	Secondary
2251X0800X	Physical Therapist - Orthopedic	P16648 (North Carolina)	Secondary
225100000X	Physical Therapist	9041 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyrehab North Carolina Llc	8820336324	71

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. John Moore allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy Center Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053545988 PECOS PAC ID: 6901959188 Enrollment ID: O20090805000651

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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. John 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
John Moore, 1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258 Ph: (631) 580-5200	John Moore, 439 Channel Rd Ste 102, Lake Wylie, SC 29710 Ph: (803) 746-7800

Reviews and Comments

Physical Therapist in Lake Wylie, SC

Dr. Thomas Calvin Mealing, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 439 Channel Rd Ste 102, Lake Wylie, SC 29710 Phone: 803-746-7800 Fax: 803-746-7807
Richard F Biggers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 439 Channel Rd, Suite 102, Lake Wylie, SC 29710 Phone: 803-746-7800 Fax: 803-746-7807
Adam Riddle, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 439 Channel Rd Ste 102, Lake Wylie, SC 29710 Phone: 803-746-7800 Fax: 803-746-7807
Susan Dinlocker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 716 Kingsmill Ln, Lake Wylie, SC 29710 Phone: 866-571-2700
Ms. Michelle Marie Semidey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4543 Charlotte Hwy Ste 11, Lake Wylie, SC 29710 Phone: 803-831-1454
Well-balanced At Home Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2 Duckhook Cir, Lake Wylie, SC 29710 Phone: 912-660-9748
Christina T Shaffery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4877 Charlotte Hwy, Lake Wylie, SC 29710 Phone: 803-831-9900 Fax: 803-831-2616

John Moore, - Medicare Physical Therapist in Lake Wylie, SC