Benjamin C Moore, MD in Hattiesburg, MS - Medicare Obstetrics/gynecology

Benjamin C Moore, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hattiesburg, Mississippi. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 421 S 28th Ave, Suite 200, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5640.

Benjamin C Moore is licensed to practice in Mississippi (license number 21901) 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 1518131754.

Contact Information

	Benjamin C Moore, MD
	421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206
	(601) 268-5640
	(601) 261-3507

Map and Direction

Physician's Profile

Full Name	Benjamin C Moore
Gender	Male
Speciality	Obstetrics/gynecology
Experience	17 Years
Location	421 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Benjamin C Moore graduated from medical school in 2008

NPI Data:

NPI Number: 1518131754
Provider Enumeration Date: 04/18/2008
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 6002072428
Enrollment ID: I20120730000210

Medical Identifiers

Medical identifiers for Benjamin C Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518131754	NPI	-	NPPES
9496951	Other	MS	AETNA
04456312	Medicaid	MS
3493860	Other	MS	UNITED HEALTHCARE
4738806	Other	MS	CIGNA
6060931	Other	MS	HEALTHSPRING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	21901 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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. Benjamin C Moore allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Benjamin C 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
Benjamin C Moore, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5640	Benjamin C Moore, MD 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 Ph: (601) 268-5640

Reviews and Comments

Obstetrics & Gynecology Doctors in Hattiesburg, MS

Jeffrey L Hudson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507
Dr. Christina Lynn Goodridge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave Ste 200, Hattiesburg, MS 39401 Phone: 601-268-5640
Dr. William L Pace, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559
Kelly R O'neal, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507
Dr. Eldred J Wiser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559
Lauren Ayres Bethea, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507
Dr. Eugene Linwood Shannon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4550 Fax: 601-582-3373

Benjamin C Moore, MD - Medicare Obstetrics/gynecology in Hattiesburg, MS