Dr Kevin Dale Moore, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Stafford, Virginia. He went to University Of Kentucky College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Arman C Moshyedi Md Pllc, Arman C Moshyedi Md Pllc and his current practice location is
450 Garrisonville Rd, 109, Stafford, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 522-2727.
Dr Kevin Dale Moore is licensed to practice in Virginia (license number 0101255019) 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 1023096054.
Physician's Profile
| Full Name | Dr Kevin Dale Moore |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry |
|---|
| Experience | 36 Years |
|---|
| Location | 450 Garrisonville Rd, Stafford, Virginia |
|---|
| 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 Kevin Dale Moore attended and graduated from University Of Kentucky College Of Medicine in 1988
NPI Data:
- NPI Number: 1023096054
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 08/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4688804289
- Enrollment ID: I20160928000861
Medical Identifiers
Medical identifiers for Dr Kevin Dale Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023096054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 28200 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2014-01019 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28200 (Kentucky) | Secondary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 28200 (Kentucky) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101255019 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arman C Moshyedi Md Pllc | 7911331665 | 14 |
| Arman C Moshyedi Md Pllc | 7911331665 | 14 |
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 Kevin Dale Moore allows following entities to bill medicare on his behalf.
| Entity Name | Arman C Moshyedi Md Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366005183
PECOS PAC ID: 7911331665
Enrollment ID: O20200131001977 |
|---|
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 Kevin Dale 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 Kevin Dale Moore, MD
34 Monument Dr,
Stafford, VA 22554-8508
Ph: (571) 409-0161 | Dr Kevin Dale Moore, MD
450 Garrisonville Rd, 109,
Stafford, VA 22554
Ph: (703) 522-2727 |
Reviews and Comments