Dr Dean L Moore, DPM is a medicare enrolled "Podiatrist" provider in Addison, Texas. His current practice location is
16633 Dallas Pkwy, Suite 600, Addison, Texas. You can reach out to his office (for appointments etc.) via phone at
(619) 633-8584.
Dr Dean L Moore is licensed to practice in Texas (license number 1700) 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 1790812816.
Healthcare Provider's Profile
| Full Name | Dr Dean L Moore |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 16633 Dallas Pkwy, Addison, Texas |
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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: 1790812816
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 11/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 6002886694
- Enrollment ID: I20040729001627
Medical Identifiers
Medical identifiers for Dr Dean L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790812816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 1700 (Texas) | 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 Dean L Moore allows following entities to bill medicare on his behalf.
| Provider Name | Hs Providers, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376964817
PECOS PAC ID: 1355573205
Enrollment ID: O20140409000136 |
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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. Dr Dean L 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 Dean L Moore, DPM
1021 Costa Pacifica Way, Unit 2213,
Oceanside, CA 92054-2195
Ph: (619) 633-8584 | Dr Dean L Moore, DPM
16633 Dallas Pkwy, Suite 600,
Addison, TX 75001-6816
Ph: (619) 633-8584 |
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