Dr Kerry Brigid Moore, MD in Port Jefferson Station, NY

Dr Kerry Brigid Moore, MD is a medicare enrolled "Pediatrics" physician in Port Jefferson Station, New York. Her current practice location is 815 Hallock Ave, Suite A, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-7267.

Dr Kerry Brigid Moore is licensed to practice in New York (license number 183552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891973426.

Contact Information

	Dr Kerry Brigid Moore, MD
	815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220
	(631) 331-7267
	(631) 331-7267

Map and Direction

Physician's Profile

Full Name	Dr Kerry Brigid Moore
Gender	Female
Speciality	Pediatrics
Location	815 Hallock Ave, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891973426
Provider Enumeration Date: 02/06/2008
Last Update Date: 02/06/2008

Medicare PECOS Information:

PECOS PAC ID: 3870837644
Enrollment ID: I20181205000987

Medical Identifiers

Medical identifiers for Dr Kerry Brigid Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891973426	NPI	-	NPPES
01500581	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	183552 (New York)	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 Kerry Brigid Moore allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Care Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468

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 Kerry Brigid 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 Kerry Brigid Moore, MD 52 Annandale Rd, Stony Brook, NY 11790-2410 Ph: (631) 246-6220	Dr Kerry Brigid Moore, MD 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776-1220 Ph: (631) 331-7267

Reviews and Comments

Pediatrics Doctors in Port Jefferson Station, NY

Jennifer Marie Diaz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776 Phone: 631-828-7001 Fax: 631-928-0185
Patricia Bigini-quinn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Drive, Cody Center For Autism And Developmental Disabilities, Port Jefferson Station, NY 11776 Phone: 631-632-3070 Fax: 631-632-6785
Dr. Gerald David Hartman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-928-5959 Fax: 631-928-8521
Dr. Kumar Madom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5225 Nesconset Hwy, Suite 35, Port Jefferson Station, NY 11776 Phone: 631-331-3232 Fax: 631-928-4910
Dr. Damian Forletti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776 Phone: 631-331-7267
Dr. Magdalena M Oleszak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776 Phone: 631-331-7267 Fax: 631-331-7289
Thushanthi Shanila Perera, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 Hallock Ave, Suite A, Port Jefferson Station, NY 11776 Phone: 631-331-7267 Fax: 631-331-7289

Dr Kerry Brigid Moore, MD - Medicare Pediatrics in Port Jefferson Station, NY