Charles D Moore, MD is a
Internal Medicine physician based in El Dorado, California. Charles D Moore is licensed to practice in California (license number A42921) and his current practice location is 6296 Canary Ln, El Dorado, California. He can be reached at his office (for appointments etc.) via phone at
(916) 296-3529.
NPI number for Charles D Moore is 1952489692 and his current mailing address is 6296 Canary Ln, El Dorado, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952489692.
Physician's Profile
Full Name | Charles D Moore |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 6296 Canary Ln, El Dorado, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952489692
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 09/22/2024
Medical Identifiers
Medical identifiers for Charles D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952489692 | NPI | - | NPPES |
00A429210 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A42921 (California) | Primary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | A42921 (California) | Secondary |
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. Charles D Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles D Moore, MD 6296 Canary Ln, El Dorado, CA 95623-4968 Ph: (916) 296-3529 | Charles D Moore, MD 6296 Canary Ln, El Dorado, CA 95623-4968 Ph: (916) 296-3529 |
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