Dr Jacob Ryan Moore, DO - Medicare Emergency Medicine in Greenville, NC

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Dr Jacob Ryan Moore, DO is a medicare enrolled "Emergency Medicine" physician in Greenville, North Carolina. His current practice location is 2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 744-4757.

Dr Jacob Ryan Moore is licensed to practice in North Carolina (license number 2023-01235) 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 1831719947.

Contact Information

Dr Jacob Ryan Moore, DO
2100 Stantonsburg Rd,
Greenville, NC 27834-2818
(252) 744-4757
(252) 744-4125

Map and Direction




Physician's Profile

Full NameDr Jacob Ryan Moore
GenderMale
SpecialityEmergency Medicine
Location2100 Stantonsburg Rd, Greenville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831719947
  • Provider Enumeration Date: 04/17/2020
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870915689
  • Enrollment ID: I20230629002809

Medical Identifiers

Medical identifiers for Dr Jacob Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831719947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2023-01235 (North Carolina)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 Ryan Moore allows following entities to bill medicare on his behalf.
Entity NameEast Carolina University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400

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 Ryan 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 Ryan Moore, DO
Po Box 751069,
Charlotte, NC 28275-1069

Ph: () -		Dr Jacob Ryan Moore, DO
2100 Stantonsburg Rd,
Greenville, NC 27834-2818

Ph: (252) 744-4757

Reviews and Comments


Emergency Medicine Doctors in Greenville, NC

Dr. Colton Austin Faza, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-847-1985
Yousef M. Naji, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-847-3627    
Dr. Joseph Andrew Stone, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Ecu Physicians Emergency Medicine, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-744-4125
Dr. Jason B Hack, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-744-5014
Robert Leslie Grafe Iii, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-3229    
Dr. Bryan Benjamin Kitch, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-744-5014
Dustin Michael Gertsch, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834
Phone: 252-744-4757    Fax: 252-744-5014

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.