Shorn D Mcmoore, DDS in Clarksville, TN - Medicare Dentist Provider

Shorn D Mcmoore, DDS is a medicare enrolled "Dentist" provider in Clarksville, Tennessee. His current practice location is 230 Dover Rd, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 920-5000.

Shorn D Mcmoore is licensed to practice in Tennessee (license number 12642) 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 1720286362.

Contact Information

	Shorn D Mcmoore, DDS
	230 Dover Rd, Clarksville, TN 37042-4183
	(931) 920-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shorn D Mcmoore
Gender	Male
Speciality	Dentist
Location	230 Dover Rd, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720286362
Provider Enumeration Date: 07/05/2007
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9436683646
Enrollment ID: I20241111003318

Medical Identifiers

Medical identifiers for Shorn D Mcmoore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720286362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401411831 (Virginia)	Secondary
122300000X	Dentist	12642 (Tennessee)	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. Shorn D Mcmoore allows following entities to bill medicare on his behalf.

Entity Name	Matthew Walker Comprehensive Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356405278 PECOS PAC ID: 4082691456 Enrollment ID: O20040702000588

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. Shorn D Mcmoore 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
Shorn D Mcmoore, DDS 401 Beecham Dr, Richmond, VA 23227-1302 Ph: (804) 918-0069	Shorn D Mcmoore, DDS 230 Dover Rd, Clarksville, TN 37042-4183 Ph: (931) 920-5000

Reviews and Comments

Dentist in Clarksville, TN

Dr. James Edwards Brannen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1722 Memorial Dr, Clarksville, TN 37043 Phone: 931-645-2749 Fax: 931-645-2778
Dr. John C. Gunn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2145 Old Ashland City Rd, Clarksville, TN 37043 Phone: 931-648-0819
George Anthony Bare Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 237 Dunbar Cave Rd Ste A, Clarksville, TN 37043 Phone: 931-648-0604
Donald Arthur Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1762 Highway 48, Clarksville, TN 37040 Phone: 931-645-8000 Fax: 931-645-8046
Dr. Joshua Christopher Jernigan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 495 Dunlop Ln Ste 112, Clarksville, TN 37040 Phone: 931-221-0050 Fax: 931-221-0052
Jennifer Jones Cornell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1762 Hwy 48, Clarksville, TN 37040 Phone: 931-645-8000 Fax: 931-645-8046
Dr. Samuel Isaac Gentry, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 Dunbar Cave Rd Ste B, Clarksville, TN 37043 Phone: 931-552-5332 Fax: 931-552-6348

Shorn D Mcmoore, DDS - Medicare Dentist in Clarksville, TN