Dr Mark Tyler Moore, AUD in Santa Clara, CA - Medicare Audiologist Provider

Dr Mark Tyler Moore, AUD is a medicare enrolled "Audiologist" provider in Santa Clara, California. His current practice location is 700 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (423) 360-3883.

Dr Mark Tyler Moore is licensed to practice in California (license number 3334) 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 1487002689.

Contact Information

	Dr Mark Tyler Moore, AUD
	700 Lawrence Expy, Santa Clara, CA 95051-5173
	(423) 360-3883
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Tyler Moore
Gender	Male
Speciality	Audiologist
Location	700 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487002689
Provider Enumeration Date: 05/27/2016
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4385996446
Enrollment ID: I20181017003751

Medical Identifiers

Medical identifiers for Dr Mark Tyler Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487002689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	3334 (California)	Primary
231H00000X	Audiologist	9806481-4101 (Utah)	Secondary

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 Mark Tyler Moore allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Mark Tyler 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 Mark Tyler Moore, AUD 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (423) 360-3883	Dr Mark Tyler Moore, AUD 700 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (423) 360-3883

Reviews and Comments

Audiologist in Santa Clara, CA

Kathleen Marie Campos, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept. 296, Santa Clara, CA 95051 Phone: 408-851-1000
Dr. Christina Marie Kerwin, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2950
Dr. Erin Duncan, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900
Mrs. Rebecca L.. Meredith, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Ste 296, Santa Clara, CA 95051 Phone: 408-851-2896
Ms. Sally Eileen Musko, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900
Samantha Brooke Sekator, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900

Dr Mark Tyler Moore, AUD - Medicare Audiologist in Santa Clara, CA