Dr Tobie Delton Moore, DDS is a medicare enrolled "Dentist - General Practice" provider in Woodville, Mississippi. His current practice location is
643 Highway 61 S, Woodville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 888-3412.
Dr Tobie Delton Moore is licensed to practice in Mississippi (license number 169675) 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 1275532806.
Healthcare Provider's Profile
| Full Name | Dr Tobie Delton Moore |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 643 Highway 61 S, Woodville, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1275532806
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315267002
- Enrollment ID: I20150520001870
Medical Identifiers
Medical identifiers for Dr Tobie Delton Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275532806 | NPI | - | NPPES |
| 00064270 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 169675 (Mississippi) | Primary |
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 Tobie Delton 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 Tobie Delton Moore, DDS
Po Box 1297,
Woodville, MS 39669-1297
Ph: (601) 888-3412 | Dr Tobie Delton Moore, DDS
643 Highway 61 S,
Woodville, MS 39669-1297
Ph: (601) 888-3412 |
Reviews and Comments