Keegan Bryce Moore, DC is a medicare enrolled "Chiropractor" provider in Wynnewood, Oklahoma. His current practice location is
210 S Dean A Mcgee Ave, Wynnewood, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 207-7541.
Keegan Bryce Moore is licensed to practice in Oklahoma (license number 4529) 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 1982319687.
Healthcare Provider's Profile
| Full Name | Keegan Bryce Moore |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 210 S Dean A Mcgee Ave, Wynnewood, Oklahoma |
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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: 1982319687
- Provider Enumeration Date: 01/17/2023
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274907969
- Enrollment ID: I20230320002810
Medical Identifiers
Medical identifiers for Keegan Bryce Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982319687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4529 (Oklahoma) | 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. Keegan Bryce Moore allows following entities to bill medicare on his behalf.
| Provider Name | Ada Family Chiropractic P.l.l.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982902235
PECOS PAC ID: 0840460473
Enrollment ID: O20110908002160 |
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| Provider Name | Moore Chiropractic And Wellness |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184303117
PECOS PAC ID: 4789039272
Enrollment ID: O20231019000017 |
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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. Keegan Bryce 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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Keegan Bryce Moore, DC
210 S Dean A Mcgee Ave,
Wynnewood, OK 73098-7810
Ph: (405) 207-7541 | Keegan Bryce Moore, DC
210 S Dean A Mcgee Ave,
Wynnewood, OK 73098-7810
Ph: (405) 207-7541 |
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