Charles Moore, in Austell, GA - Medicare Emergency Medicine

Charles Moore, is a medicare enrolled "Emergency Medicine" physician in Austell, Georgia. His current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 732-4000.

Charles Moore is licensed to practice in Georgia (license number 30655) 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 1285733220.

Contact Information

	Charles Moore,
	3950 Austell Rd, Austell, GA 30106-1121
	(770) 732-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles Moore
Gender	Male
Speciality	Emergency Medicine
Location	3950 Austell Rd, Austell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285733220
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2860562600
Enrollment ID: I20080605000007

Medical Identifiers

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

Identifier	Type	State	Issuer
1285733220	NPI	-	NPPES
00458675E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	30655 (Georgia)	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. Charles Moore allows following entities to bill medicare on his behalf.

Entity Name	The Bortolazzo Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015

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 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
Charles Moore, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400	Charles Moore, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000

Reviews and Comments

Emergency Medicine Doctors in Austell, GA

Michelle Presley, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Dr. Zachary Richard Wetendorf, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3886 Fax: 770-732-7280
Dr. Mark P Cruz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Dr. Craig S Brummer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Bradley Stearns, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000
Kirsten Haskelle Bendeck, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3950 Austell Road, Emergency Department, Austell, GA 30328 Phone: 770-732-4000
Gerald Bortolazzo, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000

Charles Moore, - Medicare Emergency Medicine in Austell, GA