Dr Tanner Mattson Moore, MD in Fort Benning, GA

Dr Tanner Mattson Moore, MD is a medicare enrolled "Family Medicine" physician in Fort Benning, Georgia. His current practice location is 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia. You can reach out to his office (for appointments etc.) via phone at (304) 672-3225.

Dr Tanner Mattson Moore is licensed to practice in North Carolina (license number 2021-00210) 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 1467972935.

Contact Information

	Dr Tanner Mattson Moore, MD
	6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102
	(304) 672-3225
	(304) 672-3225

Map and Direction

Physician's Profile

Full Name	Dr Tanner Mattson Moore
Gender	Male
Speciality	Family Medicine
Location	6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467972935
Provider Enumeration Date: 06/26/2017
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2264778992
Enrollment ID: I20230410000104

Medical Identifiers

Medical identifiers for Dr Tanner Mattson Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467972935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2021-00210 (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 Tanner Mattson Moore allows following entities to bill medicare on his behalf.

Entity Name	Cumberland County Hospital System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693

Entity Name	Cfv Express Care Billing Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396842514 PECOS PAC ID: 1456353960 Enrollment ID: O20070213000650

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 Tanner Mattson 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 Tanner Mattson Moore, MD 233 Austin Loop, Fort Benning, GA 31905-7300 Ph: (304) 672-3225	Dr Tanner Mattson Moore, MD 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 Ph: (304) 672-3225

Reviews and Comments

Family Medicine Doctors in Fort Benning, GA

Brendan Lushbough, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2532
Dr. Steven Eliot Reissman, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Adult Primary Care Clinic, Fort Benning, GA 31905 Phone: 706-544-3218 Fax: 706-544-3601
Dr. Dana K Renta, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1946 Fax: 706-544-4040
Dr. Jeffrey Michael Callin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Martin Army Community Hospital, Attn: Credentials, Fort Benning, GA 31905 Phone: 706-544-1442 Fax: 706-544-1493
Dr. Tiffany T Byrd, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-2111 Fax: 706-544-2632
Dr. Sharon A. Maxwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7950 Martin Loop, Fort Benning, GA 31905 Phone: 706-544-1556
Dr. Joshua Scott Will, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0300

Dr Tanner Mattson Moore, MD - Medicare Family Medicine in Fort Benning, GA