Dr Fletcher Brady Moore, MD in Peoria, IL - Medicare Diagnostic Radiology

Dr Fletcher Brady Moore, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Peoria, Illinois. He went to University Of South Carolina School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cira Michigan Pc, Central Illinois Radiological Associates Ltd and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Dr Fletcher Brady Moore is licensed to practice in Illinois (license number 036-157557) 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 1851778674.

Contact Information

	Dr Fletcher Brady Moore, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-1544
	(309) 655-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Fletcher Brady Moore
Gender	Male
Speciality	Diagnostic Radiology
Experience	9 Years
Location	530 Ne Glen Oak Ave, Peoria, Illinois
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 Fletcher Brady Moore attended and graduated from University Of South Carolina School Of Medicine in 2015

NPI Data:

NPI Number: 1851778674
Provider Enumeration Date: 04/30/2015
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4981982964
Enrollment ID: I20211103002588

Medical Identifiers

Medical identifiers for Dr Fletcher Brady Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851778674	NPI	-	NPPES
184182300	Medicaid	MD
086220957	Medicaid	DC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	27931 (West Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036-157557 (Illinois)	Primary
2085R0202X	Radiology - Diagnostic Radiology	D88788 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Francis Medical Center	Peoria, IL	Hospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr	Ottawa, IL	Hospital
St Mary Medical Center	Galesburg, IL	Hospital
St Joseph Medical Center	Bloomington, IL	Hospital
Perry Memorial Hospital	Princeton, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cira Michigan Pc	7113355264	20
Central Illinois Radiological Associates Ltd	9436061827	156

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 Fletcher Brady Moore allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Radiological Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332

Entity Name	Cira Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972141513 PECOS PAC ID: 7113355264 Enrollment ID: O20211101000663

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 Fletcher Brady 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 Fletcher Brady Moore, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272	Dr Fletcher Brady Moore, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-1544 Ph: (309) 655-2000

Reviews and Comments

Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320
Dr. Matthew Trent Carpenter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636 Phone: 309-672-5700 Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768

Dr Fletcher Brady Moore, MD - Medicare Diagnostic Radiology in Peoria, IL