Dr Jacob Andrew Moore, DO - Medicare Obstetrics & Gynecology in Oklahoma City, OK

Dr Jacob Andrew Moore, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Oklahoma City, Oklahoma. His current practice location is 1111 N Lee Ave, Suite 300, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 272-7005.

Dr Jacob Andrew Moore is licensed to practice in Oklahoma (license number 4541) 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 1508065244.

Contact Information

Dr Jacob Andrew Moore, DO
1111 N Lee Ave, Suite 300,
Oklahoma City, OK 73103-2600
(405) 272-7005
(405) 272-7391

Map and Direction




Physician's Profile

Full NameDr Jacob Andrew Moore
GenderMale
SpecialityObstetrics & Gynecology
Location1111 N Lee Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508065244
  • Provider Enumeration Date: 07/12/2007
  • Last Update Date: 10/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4385838085
  • Enrollment ID: I20101026001597

Medical Identifiers

Medical identifiers for Dr Jacob Andrew Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508065244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4541 (Oklahoma)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 Jacob Andrew Moore allows following entities to bill medicare on his behalf.
Entity NameTulsa Emergency Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063479087
PECOS PAC ID: 3375442692
Enrollment ID: O20040106000606
Entity NameMedical Resource Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104056365
PECOS PAC ID: 4082753918
Enrollment ID: O20100830000840

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 Jacob Andrew 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 AddressPractice Location Address
Dr Jacob Andrew Moore, DO
Po Box 268986,
Oklahoma City, OK 73126-8986

Ph: (405) 231-3857
Dr Jacob Andrew Moore, DO
1111 N Lee Ave, Suite 300,
Oklahoma City, OK 73103-2600

Ph: (405) 272-7005

Reviews and Comments


Obstetrics & Gynecology Doctors in Oklahoma City, OK

Imari Elena Moore, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120
Phone: 057-484-7264    Fax: 405-607-8497
Kristine Marie Thompson, APRN-CNP
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4140 W Memorial Rd Ste 215, Oklahoma City, OK 73120
Phone: 405-242-4030    Fax: 405-242-4031
John Alan Fuller, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5101 W Memorial Rd, Oklahoma City, OK 73142
Phone: 405-752-9600    Fax: 405-752-9605
Ronan Alexander Bakker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120
Phone: 405-748-4726    Fax: 405-607-8497
Dr. Megan Karolyn Marshalla, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 800 Ne 10th St, Oklahoma City, OK 73104
Phone: 405-271-7770    
Dr. Jennifer K. Nelson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11200 N Portland Ave, Oklahoma City, OK 73120
Phone: 405-936-1000    Fax: 405-936-1001
Dr. Julie Anne Strebel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 4200 W Memorial Rd, Suite 201, Oklahoma City, OK 73120
Phone: 405-749-4200    Fax: 405-749-4218

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.