Dr Ryan Thomas Moore, MD in Greenville, NC

Dr Ryan Thomas Moore, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Greenville, North Carolina. His current practice location is 2100 Stantonsburg Rd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 847-4378.

Dr Ryan Thomas Moore is licensed to practice in North Carolina (license number 2014-01603) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063493880.

Contact Information

	Dr Ryan Thomas Moore, MD
	2100 Stantonsburg Rd, Greenville, NC 27834-2818
	(252) 847-4378
	(252) 847-9943

Map and Direction

Physician's Profile

Full Name	Dr Ryan Thomas Moore
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2100 Stantonsburg Rd, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063493880
Provider Enumeration Date: 11/09/2005
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1456668615
Enrollment ID: I20150921001313

Medical Identifiers

Medical identifiers for Dr Ryan Thomas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063493880	NPI	-	NPPES
19CN7	Other	NC	BCBS NC
1063493880	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101237078 (Virginia)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	0101237078 (Virginia)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	2014-01603 (North Carolina)	Primary

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 Ryan Thomas Moore allows following entities to bill medicare on his behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

Entity Name	Outer Banks Professional Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156

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 Ryan Thomas 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 Ryan Thomas Moore, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Dr Ryan Thomas Moore, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 847-4378

Reviews and Comments

Pediatrics Doctors in Greenville, NC

Dr. Judy W Wood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Pediatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811
Dr. Karen Mary Goth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Stonehenge Dr, Greenville, NC 27858 Phone: 252-561-7777 Fax: 252-561-7778
Heidi Kenefick, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811
Leonard C Hymes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514
Dr. Jennifer E Crotty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2535 Fax: 252-744-3811
Joseph Ginski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 Fax: 252-847-9943
Weili Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392

Dr Ryan Thomas Moore, MD - Medicare Pediatrics in Greenville, NC