Dr Jorge Luis Moreno Sr, MD is a medicare enrolled "General Practice" physician in Jackson, Georgia. His current practice location is
375 Mcdonough Rd, Jackson, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 775-4622.
Dr Jorge Luis Moreno Sr is licensed to practice in Georgia (license number 022255) 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 1518904242.
Physician's Profile
| Full Name | Dr Jorge Luis Moreno Sr |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 375 Mcdonough Rd, Jackson, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518904242
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 07/01/2014
Medicare PECOS Information:
- PECOS PAC ID: 6800791427
- Enrollment ID: I20031205000188
Medical Identifiers
Medical identifiers for Dr Jorge Luis Moreno Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518904242 | NPI | - | NPPES |
| 00211549A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 022255 (Georgia) | 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 Jorge Luis Moreno Sr allows following entities to bill medicare on his behalf.
| Entity Name | Maldonado & Moreno, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699815340
PECOS PAC ID: 5890989016
Enrollment ID: O20101102000612 |
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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 Jorge Luis Moreno Sr 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 |
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Dr Jorge Luis Moreno Sr, MD
375 Mcdonough Rd,
Jackson, GA 30233-1509
Ph: (770) 775-4622 | Dr Jorge Luis Moreno Sr, MD
375 Mcdonough Rd,
Jackson, GA 30233-1509
Ph: (770) 775-4622 |
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