Dr Patrice Moore, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Hinesville, Georgia. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Wayne Sjc Medical Group Llc and her current practice location is
455s Main St 202, Hinesville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 877-2228.
Dr Patrice Moore is licensed to practice in Georgia (license number 67050) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447394697.
Physician's Profile
| Full Name | Dr Patrice Moore |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 21 Years |
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| Location | 455s Main St 202, Hinesville, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Patrice Moore graduated from medical school in 2003
NPI Data:
- NPI Number: 1447394697
- Provider Enumeration Date: 02/19/2007
- Last Update Date: 01/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537348073
- Enrollment ID: I20111222000481
Medical Identifiers
Medical identifiers for Dr Patrice Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447394697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 67050 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wayne Sjc Medical Group Llc | 5496901811 | 6 |
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 Patrice Moore allows following entities to bill medicare on her behalf.
| Entity Name | Comprehensive Obgyn Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861554354
PECOS PAC ID: 3274543020
Enrollment ID: O20060425000315 |
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| Entity Name | Wayne Sjc Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538421177
PECOS PAC ID: 5496901811
Enrollment ID: O20120817000029 |
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| Entity Name | Her Wellness Center. Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356870547
PECOS PAC ID: 0749546083
Enrollment ID: O20171102001093 |
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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 Patrice 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 Patrice Moore, MD
455 S Main St Ste 202,
Hinesville, GA 31313-4354
Ph: (912) 877-2228 | Dr Patrice Moore, MD
455s Main St 202,
Hinesville, GA 31313-4354
Ph: (912) 877-2228 |
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