Cloise Barton Moore, MD in Walla Walla, WA

Cloise Barton Moore, MD is a medicare enrolled "Family Medicine" physician in Walla Walla, Washington. His current practice location is 1111 S 2nd Ave, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 527-8151.

Cloise Barton Moore is licensed to practice in Washington (license number MD00019654) 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 1639154594.

Contact Information

	Cloise Barton Moore, MD
	1111 S 2nd Ave, Walla Walla, WA 99362-4118
	(509) 527-8151
	(509) 527-8010

Map and Direction

Physician's Profile

Full Name	Cloise Barton Moore
Gender	Male
Speciality	Family Medicine
Location	1111 S 2nd Ave, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639154594
Provider Enumeration Date: 12/13/2005
Last Update Date: 03/30/2017

Medicare PECOS Information:

PECOS PAC ID: 8224161377
Enrollment ID: I20100727000363

Medical Identifiers

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

Identifier	Type	State	Issuer
1639154594	NPI	-	NPPES
1015136	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00019654 (Washington)	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. Cloise Barton Moore allows following entities to bill medicare on his behalf.

Entity Name	Total Collision And Injury Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457625659 PECOS PAC ID: 5991969370 Enrollment ID: O20120614000765

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. Cloise Barton 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
Cloise Barton Moore, MD Po Box 1398, Walla Walla, WA 99362-0309 Ph: (509) 527-8151	Cloise Barton Moore, MD 1111 S 2nd Ave, Walla Walla, WA 99362-4118 Ph: (509) 527-8151

Reviews and Comments

Family Medicine Doctors in Walla Walla, WA

Kevin Jon Molander, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Dr. John Eric Moore, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Samuel Kirtley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1592
Nicole Siobhan Patching, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-897-3700 Fax: 509-897-5575
Barry Kellogg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349
Lehlia P Stanton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Va Medical Center, Walla Walla, WA 99362 Phone: 509-527-3453
Michael J Tacheny, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 Fax: 509-522-2349

Cloise Barton Moore, MD - Medicare Family Medicine in Walla Walla, WA