Dr Evan Corlee Moore, MD in Salt Lake City, UT - Medicare Critical Care (intensivists)

Dr Evan Corlee Moore, MD is a medicare enrolled "Emergency Medicine" physician in Salt Lake City, Utah. She went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 5121 S Cottonwood St, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 910-3595.

Dr Evan Corlee Moore is licensed to practice in Utah (license number 7372509-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205053063.

Contact Information

	Dr Evan Corlee Moore, MD
	5121 S Cottonwood St, Salt Lake City, UT 84107-5701
	(801) 910-3595
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Evan Corlee Moore
Gender	Female
Speciality	Critical Care (intensivists)
Experience	19 Years
Location	5121 S Cottonwood St, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Evan Corlee Moore attended and graduated from University Of Utah School Of Medicine in 2005

NPI Data:

NPI Number: 1205053063
Provider Enumeration Date: 04/20/2007
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8628123700
Enrollment ID: I20090826000651

Medical Identifiers

Medical identifiers for Dr Evan Corlee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205053063	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	7372509-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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 Evan Corlee Moore allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20160210001913

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 Evan Corlee 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 Evan Corlee Moore, MD 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 Ph: () -	Dr Evan Corlee Moore, MD 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 Ph: (801) 910-3595

Reviews and Comments

Emergency Medicine Doctors in Salt Lake City, UT

Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Joshua A. Berko, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111

Dr Evan Corlee Moore, MD - Medicare Critical Care (intensivists) in Salt Lake City, UT