Dr Glen L Moore, MD in Chesapeake, VA

Dr Glen L Moore, MD is a medicare enrolled "Surgery" physician in Chesapeake, Virginia. His current practice location is 113 Gainsborough Sq, Ste 400, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 842-4499.

Dr Glen L Moore is licensed to practice in Virginia (license number 0101044198) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265533046.

Contact Information

	Dr Glen L Moore, MD
	113 Gainsborough Sq, Ste 400, Chesapeake, VA 23320-1713
	(757) 842-4499
	(757) 842-1447

Map and Direction

Physician's Profile

Full Name	Dr Glen L Moore
Gender	Male
Speciality	Surgery
Location	113 Gainsborough Sq, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265533046
Provider Enumeration Date: 09/26/2006
Last Update Date: 05/28/2013

Medicare PECOS Information:

PECOS PAC ID: 5294810206
Enrollment ID: I20080313000710

Medical Identifiers

Medical identifiers for Dr Glen L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265533046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0101044198 (Virginia)	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 Glen L Moore allows following entities to bill medicare on his behalf.

Entity Name	Chesapeake Regional Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699940270 PECOS PAC ID: 8426113663 Enrollment ID: O20090223000187

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 Glen L 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 Glen L Moore, MD 113 Gainsborough Sq, Ste 400, Chesapeake, VA 23320-1713 Ph: (757) 842-4499	Dr Glen L Moore, MD 113 Gainsborough Sq, Ste 400, Chesapeake, VA 23320-1713 Ph: (757) 842-4499

Reviews and Comments

Surgery Doctors in Chesapeake, VA

Dr. Mohib N I Ghobrial, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 109c Wimbledon Square, Chesapeake, VA 23320 Phone: 757-436-3630 Fax: 757-312-0815
Dr. Stephen Hsiang-han Lin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 Gainsborough Sq, Suite 400, Chesapeake, VA 23320 Phone: 757-842-4499 Fax: 757-842-4490
Dr. Robert Joseph Chastanet, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Chesapeake Weight Loss, 221 Mt. Pleasant Road, Chesapeake, VA 23322 Phone: 757-312-9444 Fax: 757-447-3500
Dr. Wei Wei, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 Gainsborough Sq Ste 400, Chesapeake, VA 23320 Phone: 757-842-4499 Fax: 757-842-4490
Dr. Thomas Preston Davis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1148 Kingsbury Dr, Chesapeake, VA 23322 Phone: 757-546-8013
Stephanie K Repole, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 844 Battlefield Blvd N Ste 100, Chesapeake, VA 23320 Phone: 757-312-3033 Fax: 757-842-4490
Carlo Mohamed, CSA, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 736 Battlefield Blvd N, Chesapeake, VA 23320 Phone: 757-312-8121

Dr Glen L Moore, MD - Medicare Surgery in Chesapeake, VA