Tanner Miles Moore, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Wickenburg, Arizona. He went to California School Of Podiatric Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Southwest Foot Institute Inc, Foot And Ankle Specialists Of Arizona Pllc and his current practice location is
519 Rose Ln, Wickenburg, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 675-0478.
Tanner Miles Moore is licensed to practice in Arizona (license number POD-000936) 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 1144673237.
Healthcare Provider's Profile
| Full Name | Tanner Miles Moore |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 8 Years |
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| Location | 519 Rose Ln, Wickenburg, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tanner Miles Moore attended and graduated from California School Of Podiatric Medicine in 2016
NPI Data:
- NPI Number: 1144673237
- Provider Enumeration Date: 07/13/2016
- Last Update Date: 07/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204163777
- Enrollment ID: I20190806002569
Medical Identifiers
Medical identifiers for Tanner Miles Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144673237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD-000936 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southwest Foot Institute Inc | 3476543109 | 10 |
| Foot And Ankle Specialists Of Arizona Pllc | 7113359555 | 6 |
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. Tanner Miles Moore allows following entities to bill medicare on his behalf.
| Provider Name | Southwest Foot Institute Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871678979
PECOS PAC ID: 3476543109
Enrollment ID: O20040514001178 |
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| Provider Name | Foot & Ankle Specialists Of Arizona Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316504574
PECOS PAC ID: 7113359555
Enrollment ID: O20191122001947 |
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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. Tanner Miles 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 |
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Tanner Miles Moore, DPM
523 Rose Ln,
Wickenburg, AZ 85390-1448
Ph: (760) 613-4402 | Tanner Miles Moore, DPM
519 Rose Ln,
Wickenburg, AZ 85390-1448
Ph: (602) 675-0478 |
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