Dr Shavon Cherelle Moore, MD - Medicare Psychiatry & Neurology in San Diego, CA

Dr Shavon Cherelle Moore, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in San Diego, California. Her current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (800) 926-8273.

Dr Shavon Cherelle Moore is licensed to practice in California (license number A152789) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053682773.

Contact Information

Dr Shavon Cherelle Moore, MD
200 W Arbor Dr,
San Diego, CA 92103-9000
(800) 926-8273
(888) 539-8781

Map and Direction




Physician's Profile

Full NameDr Shavon Cherelle Moore
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location200 W Arbor Dr, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053682773
  • Provider Enumeration Date: 01/26/2012
  • Last Update Date: 02/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2769733732
  • Enrollment ID: I20181002000383

Medical Identifiers

Medical identifiers for Dr Shavon Cherelle Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053682773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A152789 (California)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry A152789 (California)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 Shavon Cherelle Moore allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508968967
PECOS PAC ID: 3577476761
Enrollment ID: O20031203000756
Entity NameFamily Health Centers Of San Diego, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923
Entity NameCommunity Research Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952328700
PECOS PAC ID: 6800825332
Enrollment ID: O20050804001256

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 Shavon Cherelle 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 Shavon Cherelle Moore, MD
Po Box 232410,
San Diego, CA 92193-2410

Ph: () -
Dr Shavon Cherelle Moore, MD
200 W Arbor Dr,
San Diego, CA 92103-9000

Ph: (800) 926-8273

Reviews and Comments


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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.