Dominick Peter Moffre, DO is a
General Practice physician based in Rensselaer, New York. Dominick Peter Moffre is licensed to practice in New York (license number 098837-1) and his current practice location is 65 Brinker Dr, Ro #1, Rensselaer, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 286-3004.
NPI number for Dominick Peter Moffre is 1790852903 and his current mailing address is 65 Brinker Dr, Ro #1, Rensselaer, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790852903.
Physician's Profile
Full Name | Dominick Peter Moffre |
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Gender | Male |
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Speciality | General Practice |
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Location | 65 Brinker Dr, Rensselaer, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790852903
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dominick Peter Moffre such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790852903 | NPI | - | NPPES |
00347888 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 098837-1 (New York) | Primary |
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. Dominick Peter Moffre is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominick Peter Moffre, DO 65 Brinker Dr, Ro #1, Rensselaer, NY 12144 Ph: (518) 286-3004 | Dominick Peter Moffre, DO 65 Brinker Dr, Ro #1, Rensselaer, NY 12144 Ph: (518) 286-3004 |
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