Anne Marie Moore, - Medicare Sports Medicine in St Louis Park, MN

  1. Home
  2. Family Medicine
  3. MN
  4. St Louis Park
Anne Marie Moore, is a medicare enrolled "Family Medicine - Sports Medicine" physician in St Louis Park, Minnesota. She went to University Of Minnesota Medical School and graduated in 2003 and has 21 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Tria Orthopaedic Center Llc and her current practice location is 6600 Excelsior Blvd, Suite 160, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-7700.

Anne Marie Moore is licensed to practice in Minnesota (license number 46800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770550188.

Contact Information

Anne Marie Moore,
6600 Excelsior Blvd, Suite 160,
St Louis Park, MN 55426-4744
(952) 993-7700
Not Available

Map and Direction




Physician's Profile

Full NameAnne Marie Moore
GenderFemale
SpecialitySports Medicine
Experience21 Years
Location6600 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anne Marie Moore attended and graduated from University Of Minnesota Medical School in 2003
  NPI Data:
  • NPI Number: 1770550188
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911945985
  • Enrollment ID: I20050420000598

Medical Identifiers

Medical identifiers for Anne Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770550188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 46800 (Minnesota)Secondary
207QS0010XFamily Medicine - Sports Medicine 46800 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tria Orthopaedic Center Llc3173570561362

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. Anne Marie Moore allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameTria Orthopaedic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518273085
PECOS PAC ID: 3173570561
Enrollment ID: O20110310000999

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. Anne Marie 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 AddressPractice Location Address
Anne Marie Moore,
3800 Park Nicollet Blvd, Credentialing,
St Louis Park, MN 55416-2527

Ph: () -		Anne Marie Moore,
6600 Excelsior Blvd, Suite 160,
St Louis Park, MN 55426-4744

Ph: (952) 993-7700

Reviews and Comments


Family Medicine Doctors in St Louis Park, MN

Elisabeth Jean Mcclean, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-883-1000    
Kari Miller,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3512    
Dr. Sara Johanna Mitlyng, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426
Phone: 952-993-7700    
Dr. Wayne D Liebhard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3025    
Michael Dukinfield,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426
Phone: 952-993-7700    
Jodi Milburn,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-6666    
Mary D Wagner,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426
Phone: 952-993-7707    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.