Colleen Johnson Moore, MD in Cape Girardeau, MO

Colleen Johnson Moore, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Cape Girardeau, Missouri. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Vascular Surgery. Her current practice location is 21 Doctors Park Ste A, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at (217) 788-0706.

Colleen Johnson Moore is licensed to practice in Illinois (license number 036113689) 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 1801877923.

Contact Information

	Colleen Johnson Moore, MD
	21 Doctors Park Ste A, Cape Girardeau, MO 63703-4927
	(217) 788-0706
	(217) 525-2535

Map and Direction

Physician's Profile

Full Name	Colleen Johnson Moore
Gender	Female
Speciality	Vascular Surgery
Experience	28 Years
Location	21 Doctors Park Ste A, Cape Girardeau, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colleen Johnson Moore attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1996

NPI Data:

NPI Number: 1801877923
Provider Enumeration Date: 11/07/2005
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6406880350
Enrollment ID: I20130715000643

Medical Identifiers

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

Identifier	Type	State	Issuer
1801877923	NPI	-	NPPES
036113689	Medicaid	IL
F400526418	Other	IL	MEDICARE PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	2004001641 (Missouri)	Secondary
2086S0129X	Surgery - Vascular Surgery	036113689 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Anthonys Memorial Hospital	Effingham, IL	Hospital
St Johns Hospital	Springfield, IL	Hospital

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. Colleen Johnson Moore allows following entities to bill medicare on her behalf.

Entity Name	Invein Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467132951 PECOS PAC ID: 1355704495 Enrollment ID: O20230823000509

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. Colleen Johnson 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
Colleen Johnson Moore, MD 21 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 Ph: (573) 837-4131	Colleen Johnson Moore, MD 21 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 Ph: (217) 788-0706

Reviews and Comments

Surgery Doctors in Cape Girardeau, MO

Ronald Richmond, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-3074 Fax: 573-335-8725
Jerry Kinder, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 211 Saint Francis Dr, Cape Girardeau, MO 63703 Phone: 573-331-5330 Fax: 573-331-5025
Dr. Joseph M Mcclain, MD Surgery Medicare: Medicare Enrolled Practice Location: 3250 Gordonville Rd Ste 384, Cape Girardeau, MO 63703 Phone: 573-331-5522 Fax: 573-331-5523
Ernest Lee Taylor, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1701 Lacey St, Cape Girardeau, MO 63701 Phone: 573-651-5570
William Ray Silliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-334-3074 Fax: 573-335-8725
Nicholas A Boston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3250 Gordonville Rd Ste 384, Cape Girardeau, MO 63703 Phone: 573-331-5522 Fax: 573-331-5523
Ashley Camp, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 304 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-651-1687 Fax: 573-651-8734

Colleen Johnson Moore, MD - Medicare Vascular Surgery in Cape Girardeau, MO