David Moore, DO is a medicare enrolled "Internal Medicine" physician in Saugatuck, Michigan. His current practice location is
6173 Bayou Trl, Saugatuck, Michigan. You can reach out to his office (for appointments etc.) via phone at
(244) 202-7202.
David Moore is licensed to practice in Illinois (license number 036053464) 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 1942261524.
Physician's Profile
Full Name | David Moore |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 6173 Bayou Trl, Saugatuck, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942261524
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 04/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204892581
- Enrollment ID: I20041209000213
Medical Identifiers
Medical identifiers for David Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942261524 | NPI | - | NPPES |
0360534641 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036053464 (Illinois) | 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. David Moore allows following entities to bill medicare on his behalf.
Entity Name | Howard Brown Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526 |
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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. David 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 |
David Moore, DO 6173 Bayou Trl, Saugatuck, MI 49453-9671 Ph: (244) 202-7202 | David Moore, DO 6173 Bayou Trl, Saugatuck, MI 49453-9671 Ph: (244) 202-7202 |
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