Dr Michael Benjamin Moore, DO - Medicare Family Practice in Joint Base Lewis Mcchord, WA

  1. Home
  2. Emergency Medicine
  3. WA
  4. Joint Base Lewis Mcchord
Dr Michael Benjamin Moore, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Joint Base Lewis Mcchord, Washington. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Multicare Health System, Providence Health And Services - Wa, Indigo Idaho Services, Llc and his current practice location is 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1340.

Dr Michael Benjamin Moore is licensed to practice in Washington (license number OP61069996) 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 1538110911.

Contact Information

Dr Michael Benjamin Moore, DO
9040 Fitzsimmons Dr,
Joint Base Lewis Mcchord, WA 98431-3689
(253) 968-1340
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Benjamin Moore
GenderMale
SpecialityFamily Practice
Experience11 Years
Location9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington
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 Michael Benjamin Moore graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1538110911
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 01/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4385638626
  • Enrollment ID: I20210112002362

Medical Identifiers

Medical identifiers for Dr Michael Benjamin Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538110911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 1198 (Nebraska)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services OP61069996 (Washington)Primary
207Q00000XFamily Medicine 1198 (Nebraska)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Joseph HospitalChewelah, WAHospital
Providence Mount Carmel HospitalColville, WAHospital
Lincoln HospitalDavenport, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Multicare Health System77198998971689
Providence Health And Services - Wa973924935010
Indigo Idaho Services, Llc18507503735

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 Michael Benjamin Moore allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameProvidence Health & Services - Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841442332
PECOS PAC ID: 3577623115
Enrollment ID: O20090130000176
Entity NameProvidence Health & Services - Wa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902058399
PECOS PAC ID: 9739249350
Enrollment ID: O20090318000512

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 Michael Benjamin 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 Michael Benjamin Moore, DO
9040 Fitzsimmons Dr,
Joint Base Lewis Mcchord, WA 98431-3689

Ph: (253) 968-1340		Dr Michael Benjamin Moore, DO
9040 Fitzsimmons Dr,
Joint Base Lewis Mcchord, WA 98431-3689

Ph: (253) 968-1340

Reviews and Comments


Emergency Medicine Doctors in Joint Base Lewis Mcchord, WA

Dr. Matthew Christopher Miller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-2997    
Dr. Robert P Mccoy, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438
Phone: 740-454-4394    Fax: 253-982-0158
Dr. Andrew Brigg, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431
Phone: 253-363-2300    
Nicholas Derfler,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-2997    
Dr. Jonathan Isaac Stuart, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-1110    
Paul Freeman, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-2997    
Brandon Lee, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431
Phone: 253-968-1511    

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.