Sharilyn K Moore, DPM is a medicare enrolled "Podiatrist" provider in Forest Lake, Minnesota. She went to William M. Scholl College Of Podiatric Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Allina Health System and her current practice location is
1540 Lake St S, Forest Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 464-7100.
Sharilyn K Moore is licensed to practice in Minnesota (license number 534) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093757031.
Healthcare Provider's Profile
| Full Name | Sharilyn K Moore |
|---|
| Gender | Female |
|---|
| Speciality | Podiatry |
|---|
| Experience | 34 Years |
|---|
| Location | 1540 Lake St S, Forest Lake, Minnesota |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Sharilyn K Moore attended and graduated from William M. Scholl College Of Podiatric Medicine in 1992
NPI Data:
- NPI Number: 1093757031
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 03/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113052077
- Enrollment ID: I20100317000285
Medical Identifiers
Medical identifiers for Sharilyn K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093757031 | NPI | - | NPPES |
| 278217100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 534 (Minnesota) | Primary |
Medical Facilities Affiliation
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. Sharilyn K Moore allows following entities to bill medicare on her behalf.
| Provider Name | Allina Health System |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460 |
|---|
| Provider Name | Allina Health System |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713 |
|---|
| Provider Name | Janus Lepc Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1205645777
PECOS PAC ID: 5698295038
Enrollment ID: O20250228000416 |
|---|
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. Sharilyn K 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 |
|---|
Sharilyn K Moore, DPM
2925 Chicago Ave,
Minneapolis, MN 55407-1321
Ph: (612) 262-5000 | Sharilyn K Moore, DPM
1540 Lake St S,
Forest Lake, MN 55025-2628
Ph: (651) 464-7100 |
Reviews and Comments