Dr Patrick Jerrell Moore, MD in Stanford, CA - Medicare Hematology/oncology

Dr Patrick Jerrell Moore, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Stanford, California. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Rush University Medical Center and his current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 736-1111.

Dr Patrick Jerrell Moore is licensed to practice in Illinois (license number 036150357) 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 1639525371.

Contact Information

	Dr Patrick Jerrell Moore, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 736-1111
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Patrick Jerrell Moore
Gender	Male
Speciality	Hematology/oncology
Experience	9 Years
Location	300 Pasteur Dr, Stanford, California
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 Patrick Jerrell Moore graduated from medical school in 2015

NPI Data:

NPI Number: 1639525371
Provider Enumeration Date: 05/12/2016
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7810280559
Enrollment ID: I20200625002411

Medical Identifiers

Medical identifiers for Dr Patrick Jerrell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639525371	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036.150357 (Illinois)	Secondary
208M00000X	Hospitalist	036.150357 (Illinois)	Secondary
207RH0003X	Internal Medicine - Hematology & Oncology	036150357 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rush University Medical Center	5496658874	997

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 Patrick Jerrell Moore allows following entities to bill medicare on his behalf.

Entity Name	Rush University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

Entity Name	Knd Development 59 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992034599 PECOS PAC ID: 3678602802 Enrollment ID: O20101021000962

Entity Name	Community First Healthcare Of Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881059897 PECOS PAC ID: 2860716685 Enrollment ID: O20160104001552

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 Patrick Jerrell 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 Patrick Jerrell Moore, MD 1355 El Camino Real Unit 727, Redwood City, CA 94063-2136 Ph: (252) 916-1431	Dr Patrick Jerrell Moore, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 736-1111

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Yu Kuang Lai, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Meghan Brady Marmor, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Lauren Michelle Ulsh, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Dr Patrick Jerrell Moore, MD - Medicare Hematology/oncology in Stanford, CA