Dr Frederick Moore, DMD in Palmetto, GA - Medicare Dentist Provider

Dr Frederick Moore, DMD is a medicare enrolled "Dentist - General Practice" provider in Palmetto, Georgia. His current practice location is 643 Main St, Palmetto, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 463-4644.

Dr Frederick Moore is licensed to practice in Georgia (license number DN013353) 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 1215157060.

Contact Information

	Dr Frederick Moore, DMD
	643 Main St, Palmetto, GA 30268-1138
	(770) 463-4644
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Frederick Moore
Gender	Male
Speciality	Dentist - General Practice
Location	643 Main St, Palmetto, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215157060
Provider Enumeration Date: 04/26/2007
Last Update Date: 01/04/2012

Medicare PECOS Information:

PECOS PAC ID: 0042508004
Enrollment ID: I20191114003623

Medical Identifiers

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

Identifier	Type	State	Issuer
1215157060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN013353 (Georgia)	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. Dr Frederick Moore allows following entities to bill medicare on his behalf.

Entity Name	Saint Joseph's Mercy Care Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588663421 PECOS PAC ID: 9931191525 Enrollment ID: O20050516000862

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 Frederick 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 Frederick Moore, DMD 294 Glenwood Ave Se, Atlanta, GA 30312-3155 Ph: (706) 231-6584	Dr Frederick Moore, DMD 643 Main St, Palmetto, GA 30268-1138 Ph: (770) 463-4644

Reviews and Comments

Dentist in Palmetto, GA

Haley Leatherbarrow, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 770-463-4644
Dr. Gary Lane Watts, DMD Dentist Medicare: Medicare Enrolled Practice Location: 501 Park St, Palmetto, GA 30268 Phone: 770-463-4541 Fax: 770-463-9184
Dr. Adam Joseph Barefoot, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 770-463-4644 Fax: 770-463-9885
Dr. Hector J. Viera, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 770-463-4644
Dr. Jordan Albert Brunson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Park St, Palmetto, GA 30268 Phone: 770-463-4541 Fax: 770-463-9184
Dr. Nasser Issa Fiqia, DMD Dentist Medicare: Medicare Enrolled Practice Location: 643 Main St, Palmetto, GA 30268 Phone: 770-463-4644

Dr Frederick Moore, DMD - Medicare Dentist in Palmetto, GA