Dr Douglas R Moore, DO in Roseville, MI - Medicare Cardiac Electrophysiology

Dr Douglas R Moore, DO is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Roseville, Michigan. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Ascension St John Hospital, Ascension Macomb Oakland Hospital and his current practice location is 25195 Kelly Rd Ste A, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 775-4594.

Dr Douglas R Moore is licensed to practice in Michigan (license number 5101013212) 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 1194729053.

Contact Information

	Dr Douglas R Moore, DO
	25195 Kelly Rd Ste A, Roseville, MI 48066-4909
	(586) 775-4594
	(586) 775-4506

Map and Direction

Physician's Profile

Full Name	Dr Douglas R Moore
Gender	Male
Speciality	Cardiac Electrophysiology
Experience	28 Years
Location	25195 Kelly Rd Ste A, Roseville, Michigan
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:

Dr Douglas R Moore graduated from medical school in 1996

NPI Data:

NPI Number: 1194729053
Provider Enumeration Date: 06/09/2005
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0042285199
Enrollment ID: I20041109001126

Medical Identifiers

Medical identifiers for Dr Douglas R Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194729053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	0102202087 (Virginia)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	0102202087 (Virginia)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	5101013212 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension St John Hospital	3173424082	279
Ascension Macomb Oakland Hospital	7315859725	118

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 Douglas R Moore allows following entities to bill medicare on his behalf.

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Entity Name	Eastlake Cardiovascular Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982657474 PECOS PAC ID: 4688562176 Enrollment ID: O20040308000049

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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 Douglas R 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 Douglas R Moore, DO 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 Ph: (586) 775-4594	Dr Douglas R Moore, DO 25195 Kelly Rd Ste A, Roseville, MI 48066-4909 Ph: (586) 775-4594

Reviews and Comments

Internal Medicine Doctors in Roseville, MI

Robert Lewis Marchese, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25810 Kelly Rd, Suite 3, Roseville, MI 48066 Phone: 586-777-9724 Fax: 586-777-9725
Benjamin O Osowa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite E, Roseville, MI 48066 Phone: 586-552-8696 Fax: 586-552-4404
Dr. Majid Alzagoum, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092
Dr. Wahed Ishaqsei, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066 Phone: 586-778-4950 Fax: 586-778-4952
Dr. Mohamad K. Ajjour, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066 Phone: 586-776-8877 Fax: 586-776-3092
Dr. Ameer Abdulrazzak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18001 E 10 Mile, Suite 1, Roseville, MI 48066 Phone: 586-218-5800 Fax: 586-218-5808
Dr. Madjid Mesgarzadeh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25910 Kelly Rd, Suite B, Roseville, MI 48066 Phone: 586-772-3366 Fax: 586-772-3355

Dr Douglas R Moore, DO - Medicare Cardiac Electrophysiology in Roseville, MI