Dr Kendall Ivan Moore, MD - Medicare Emergency Medicine in Bronx, NY

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Dr Kendall Ivan Moore, MD is a medicare enrolled "Emergency Medicine" physician in Bronx, New York. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Memorial Hermann Hospital Based Physician Group and his current practice location is 111 E 210th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 920-4321.

Dr Kendall Ivan Moore is licensed to practice in Illinois (license number 036150489) 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 1508253881.

Contact Information

Dr Kendall Ivan Moore, MD
111 E 210th St,
Bronx, NY 10467-2401
(718) 920-4321
Not Available

Map and Direction




Physician's Profile

Full NameDr Kendall Ivan Moore
GenderMale
SpecialityEmergency Medicine
Experience9 Years
Location111 E 210th St, Bronx, New York
Accepts Medicare AssignmentsYes. 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 Kendall Ivan Moore attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2015
  NPI Data:
  • NPI Number: 1508253881
  • Provider Enumeration Date: 04/23/2015
  • Last Update Date: 01/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486989738
  • Enrollment ID: I20210405001920

Medical Identifiers

Medical identifiers for Dr Kendall Ivan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508253881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01082466A (Indiana)Secondary
207P00000XEmergency Medicine 2019024451 (Missouri)Secondary
207P00000XEmergency Medicine 036150489 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann Hospital SystemHouston, TXHospital
Kingwood Medical CenterKingwood, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hermann Hospital Based Physician Group4385075480246

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 Kendall Ivan Moore allows following entities to bill medicare on his behalf.
Entity NameSt Joseph Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326324047
PECOS PAC ID: 2163698929
Enrollment ID: O20111228000136
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567
Entity NameTapestry Telehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20180403002244
Entity NameMemorial Hermann Hospital Based Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295363497
PECOS PAC ID: 4385075480
Enrollment ID: O20200505001521
Entity NameSmall Hospital Innovations
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184040560
PECOS PAC ID: 0840415444
Enrollment ID: O20220124000512
Entity NameEmergency Medicine Services Of Tx Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245938729
PECOS PAC ID: 3375909351
Enrollment ID: O20230517001124

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 Kendall Ivan 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 Kendall Ivan Moore, MD
111 E 210th St,
Bronx, NY 10467-2401

Ph: (718) 920-4321		Dr Kendall Ivan Moore, MD
111 E 210th St,
Bronx, NY 10467-2401

Ph: (718) 920-4321

Reviews and Comments


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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.

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