Dr Angela Marie Moore, DO is a medicare enrolled "Pediatrics" physician in Circleville, Ohio. Her current practice location is
798 N Court St, Circleville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 420-3000.
Dr Angela Marie Moore is licensed to practice in Ohio (license number 34.008964) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013131184.
Physician's Profile
Full Name | Dr Angela Marie Moore |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 798 N Court St, Circleville, Ohio |
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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: 1013131184
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 12/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385871292
- Enrollment ID: I20210415002100
Medical Identifiers
Medical identifiers for Dr Angela Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013131184 | NPI | - | NPPES |
2748503 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 34.008964 (Ohio) | 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. Dr Angela Marie Moore allows following entities to bill medicare on her behalf.
Entity Name | Adena Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
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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. Dr Angela Marie 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 |
Dr Angela Marie Moore, DO 798 N Court St, Circleville, OH 43113-1262 Ph: (740) 420-3000 | Dr Angela Marie Moore, DO 798 N Court St, Circleville, OH 43113-1262 Ph: (740) 420-3000 |
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