Derek Ronald Moore, MD in Gainesville, GA - Medicare Orthopedic Surgery

Derek Ronald Moore, MD is a medicare enrolled "Orthopaedic Surgery" physician in Gainesville, Georgia. He went to University Of South Carolina School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice The Longstreet Clinic, Pc and his current practice location is 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 532-7092.

Derek Ronald Moore is licensed to practice in Georgia (license number 054090) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871516930.

Contact Information

	Derek Ronald Moore, MD
	655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854
	(770) 532-7092
	(770) 536-0383

Map and Direction

Physician's Profile

Full Name	Derek Ronald Moore
Gender	Male
Speciality	Orthopedic Surgery
Experience	25 Years
Location	655 Jesse Jewell Pkwy Se, Gainesville, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek Ronald Moore attended and graduated from University Of South Carolina School Of Medicine in 1999

NPI Data:

NPI Number: 1871516930
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/15/2011

Medicare PECOS Information:

PECOS PAC ID: 9234117417
Enrollment ID: I20040713000914

Medical Identifiers

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

Identifier	Type	State	Issuer
1871516930	NPI	-	NPPES
0901538	Other	GA	UHC
10062471	Other	GA	AMERIGROUP
203604041D	Medicaid	GA
7851732	Other	GA	AETNA
52703247	Other	GA	BCBS
203604041C	Medicaid	GA
4599810	Other	GA	CIGNA
P00349858	Other	GA	RR MEDICARE-GRP # CC4177
342650	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	054090 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Longstreet Clinic, Pc	2668465733	145

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. Derek Ronald Moore allows following entities to bill medicare on his behalf.

Entity Name	The Longstreet Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521

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. Derek Ronald 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
Derek Ronald Moore, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122	Derek Ronald Moore, MD 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 Ph: (770) 532-7092

Reviews and Comments

Orthopaedic Surgery Doctors in Gainesville, GA

R Mark Hazel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-848-6190
Mr. Daniel D Rhoads, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501 Phone: 770-219-3202 Fax: 770-219-3209
Robert J Marascalco, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501 Phone: 770-532-7202 Fax: 770-536-2767
William David Weiss, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-532-7202
Dr. Benjamin N Puckett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Ste 300, Gainesville, GA 30501 Phone: 770-532-7202 Fax: 678-450-3778
Donald Roger Willers, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501 Phone: 770-532-7092 Fax: 770-536-0383
Richard L Thomas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Sherwood Park Dr Ne Ste A, Gainesville, GA 30501 Phone: 770-219-3202

Derek Ronald Moore, MD - Medicare Orthopedic Surgery in Gainesville, GA