Dr Jacob Robert Moore, MD in Chicago, IL - Medicare Emergency Medicine

Dr Jacob Robert Moore, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Rush Oak Park Er Physicians Group and his current practice location is 5841 S Maryland Ave Rm L539, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 702-9500.

Dr Jacob Robert Moore is licensed to practice in Illinois (license number 125066516) 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 1750762928.

Contact Information

	Dr Jacob Robert Moore, MD
	5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447
	(773) 702-9500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jacob Robert Moore
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	5841 S Maryland Ave Rm L539, Chicago, Illinois
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 Jacob Robert Moore graduated from medical school in 2015

NPI Data:

NPI Number: 1750762928
Provider Enumeration Date: 06/14/2015
Last Update Date: 06/14/2015

Medicare PECOS Information:

PECOS PAC ID: 0042513756
Enrollment ID: I20180724002480

Medical Identifiers

Medical identifiers for Dr Jacob Robert Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750762928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	125066516 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morrison Community Hospital	Morrison, IL	Hospital
Rush Oak Park Hospital	Oak park, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush Oak Park Er Physicians Group	8820190606	33

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 Robert Moore allows following entities to bill medicare on his behalf.

Entity Name	Rush Oak Park Er Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187

Entity Name	Morrison Community Hospital District
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761

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 Robert 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 Jacob Robert Moore, MD 100 E 14th St Apt 803, Chicago, IL 60605-3666 Ph: (815) 988-3623	Dr Jacob Robert Moore, MD 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 Ph: (773) 702-9500

Reviews and Comments

Emergency Medicine Doctors in Chicago, IL

Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000
Tomasz Piotr Lis, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321
Dr. Ro Gonsalves, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 773-967-2000

Dr Jacob Robert Moore, MD - Medicare Emergency Medicine in Chicago, IL