Dr Sue D Moore, MD in Saint Louis, MO - Medicare Obstetrics & Gynecology

Dr Sue D Moore, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Saint Louis, Missouri. Her current practice location is 621 S New Ballas Rd, Suite 2009b, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 251-6880.

Dr Sue D Moore is licensed to practice in Missouri (license number 113681) 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 1164459772.

Contact Information

	Dr Sue D Moore, MD
	621 S New Ballas Rd, Suite 2009b, Saint Louis, MO 63141-8232
	(314) 251-6880
	(314) 251-6919

Map and Direction

Physician's Profile

Full Name	Dr Sue D Moore
Gender	Female
Speciality	Obstetrics & Gynecology - Maternal & Fetal Medicine
Location	621 S New Ballas Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164459772
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294749990
Enrollment ID: I20060202000117

Medical Identifiers

Medical identifiers for Dr Sue D Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164459772	NPI	-	NPPES
338322	Other	MO	HEALTHLINK
113282	Other	MO	BLUE CROSS BLUE SHIELD
6715780	Other	MO	CIGNA
4454848	Other	MO	AETNA
272132	Other	MO	GROUP HEALTHPLAN
7400110	Other	MO	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	113681 (Missouri)	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 Sue D Moore allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Entity Name	Mercy East Support Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225382013 PECOS PAC ID: 0446498729 Enrollment ID: O20130528000281

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 Sue D 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 Sue D Moore, MD 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 Ph: (314) 849-0311	Dr Sue D Moore, MD 621 S New Ballas Rd, Suite 2009b, Saint Louis, MO 63141-8232 Ph: (314) 251-6880

Reviews and Comments

Obstetrics & Gynecology Doctors in Saint Louis, MO

Dr. Patricia Tereese Jimenez, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4444 Forest Park Ave, Div Ob Reproductive Endocrinology, Ste 3100, Saint Louis, MO 63108 Phone: 314-286-2400 Fax: 314-286-2455
Anna Rabinov, ANNA RABINOV Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-3000
Shannon Michelle Grabosch, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117 Phone: 314-781-4772 Fax: 314-645-8771
Dr. Kathryn Botney, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 621 S New Ballas Rd, Suite 4005, Saint Louis, MO 63141 Phone: 314-567-5016 Fax: 314-567-1846
Dr. Ann Marie S Rockamann, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3023 N Ballas Rd Ste 600d, Saint Louis, MO 63131 Phone: 314-996-4880
Dr. Haifaa T. Younis, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2315 Dougherty Ferry Rd, Suite 109b, Saint Louis, MO 63122 Phone: 314-965-5553 Fax: 314-590-5972
Dr. Renee M Stein, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10777 Sunset Office Dr, Suite 200, Saint Louis, MO 63127 Phone: 314-842-4802 Fax: 314-849-8721

Dr Sue D Moore, MD - Medicare Obstetrics & Gynecology in Saint Louis, MO