Dr Ilene Rubowitz Moore, MD is a medicare enrolled "Pediatrics" physician in Hopkins, Minnesota. Her current practice location is
14001 Ridgedale Dr Ste 100, Hopkins, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 473-0211.
Dr Ilene Rubowitz Moore is licensed to practice in Minnesota (license number 45291) 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 1659331445.
Physician's Profile
Full Name | Dr Ilene Rubowitz Moore |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 14001 Ridgedale Dr Ste 100, Hopkins, Minnesota |
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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: 1659331445
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991737454
- Enrollment ID: I20050906000381
Medical Identifiers
Medical identifiers for Dr Ilene Rubowitz Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659331445 | NPI | - | NPPES |
913119100 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 45291 (Minnesota) | 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 Ilene Rubowitz Moore allows following entities to bill medicare on her behalf.
Entity Name | West Side Community Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
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Entity Name | Southside Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538137757 PECOS PAC ID: 8921027228 Enrollment ID: O20051116000311 |
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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 Ilene Rubowitz 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 Ilene Rubowitz Moore, MD 14001 Ridgedale Dr, Minnetonka, MN 55305-1753 Ph: () - | Dr Ilene Rubowitz Moore, MD 14001 Ridgedale Dr Ste 100, Hopkins, MN 55305-1781 Ph: (952) 473-0211 |
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