Nicholas Jay Moore, MD in Novi, MI - Medicare Sports Medicine

Nicholas Jay Moore, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Novi, Michigan. He went to Medical College Of Wisconsin and graduated in 2011 and has 13 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Ascension Providence Hospital and his current practice location is 26850 Providence Pkwy Ste 260, Novi, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 465-5140.

Nicholas Jay Moore is licensed to practice in Michigan (license number 4301108292) 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 1265727556.

Contact Information

	Nicholas Jay Moore, MD
	26850 Providence Pkwy Ste 260, Novi, MI 48374-1256
	(248) 465-5140
	(248) 465-5141

Map and Direction

Physician's Profile

Full Name	Nicholas Jay Moore
Gender	Male
Speciality	Sports Medicine
Experience	13 Years
Location	26850 Providence Pkwy Ste 260, Novi, Michigan
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:

Nicholas Jay Moore attended and graduated from Medical College Of Wisconsin in 2011

NPI Data:

NPI Number: 1265727556
Provider Enumeration Date: 06/14/2011
Last Update Date: 04/16/2019

Medicare PECOS Information:

PECOS PAC ID: 1658687041
Enrollment ID: I20150831001949

Medical Identifiers

Medical identifiers for Nicholas Jay Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265727556	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301108292 (Michigan)	Secondary
207QS0010X	Family Medicine - Sports Medicine	4301108292 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Providence Hospital, Southfield And Novi	Southfield, MI	Hospital
Huron Valley-sinai Hospital	Commerce township, MI	Hospital
Ascension St John Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Providence Hospital	6103738703	178

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. Nicholas Jay Moore allows following entities to bill medicare on his behalf.

Entity Name	Ascension Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326

Entity Name	Vhs Physicians Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073827101 PECOS PAC ID: 8921289760 Enrollment ID: O20110225000849

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. Nicholas Jay 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
Nicholas Jay Moore, MD 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 Ph: (248) 465-5140	Nicholas Jay Moore, MD 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 Ph: (248) 465-5140

Reviews and Comments

Family Medicine Doctors in Novi, MI

Robert A Carter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26850 Providence Pkwy, Suite 375, Novi, MI 48374 Phone: 248-662-4200 Fax: 248-662-0368
Victoria Nicole Dooley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21580 Novi Rd, Ste 200, Novi, MI 48375 Phone: 248-946-4905
Thomas Joseph Anan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25691 Strath Haven Dr, Novi, MI 48374 Phone: 586-256-4170 Fax: 248-465-4901
Michael Balon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 26850 Providence Pkwy, Suite 370, Novi, MI 48374 Phone: 248-465-4160 Fax: 248-465-4525
Moneer Al-nabolsi, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 44130 W 12 Mile Rd, Novi, MI 48377 Phone: 248-380-8811
Dr. Jeffrey Joshowitz, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 39475 Lewis Dr, Suite 140, Novi, MI 48377 Phone: 248-489-0766 Fax: 248-489-0788
Dr. Bilal Tarek Malek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 39555 Orchard Hill Pl Ste 600, Novi, MI 48375 Phone: 248-621-4581 Fax: 248-621-4582

Nicholas Jay Moore, MD - Medicare Sports Medicine in Novi, MI