Thomas Haywood Moore, PT, DPT is a medicare enrolled "Physical Therapist" provider in Wyandanch, New York. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Athletico Ltd and his current practice location is
1 Washington Ave Apt 330, Wyandanch, New York. You can reach out to his office (for appointments etc.) via phone at
(318) 564-4100.
Thomas Haywood Moore is licensed to practice in New York (license number 046181) 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 1225605496.
Healthcare Provider's Profile
| Full Name | Thomas Haywood Moore |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 4 Years |
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| Location | 1 Washington Ave Apt 330, Wyandanch, New York |
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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:
- Thomas Haywood Moore graduated from medical school in 2020
NPI Data:
- NPI Number: 1225605496
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 06/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719378173
- Enrollment ID: I20211220002583
Medical Identifiers
Medical identifiers for Thomas Haywood Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225605496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 046181 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Athletico Ltd | 4789602681 | 1963 |
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. Thomas Haywood Moore allows following entities to bill medicare on his behalf.
| Provider Name | Athletic And Therapeutic Institute Of Naperville, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1023129681
PECOS PAC ID: 8325014020
Enrollment ID: O20040903000494 |
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| Provider Name | Athletic And Therapeutic Institute Of Bourbonnais, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1861503542
PECOS PAC ID: 4183692577
Enrollment ID: O20040923000220 |
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| Provider Name | Athletico Ltd |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1821085028
PECOS PAC ID: 4789602681
Enrollment ID: O20120612000342 |
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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. Thomas Haywood 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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Thomas Haywood Moore, PT, DPT
1 Washington Ave Apt 330,
Wyandanch, NY 11798-2446
Ph: (318) 564-4100 | Thomas Haywood Moore, PT, DPT
1 Washington Ave Apt 330,
Wyandanch, NY 11798-2446
Ph: (318) 564-4100 |
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