Jacqueline P Moore, MD in Southfield, MI

Jacqueline P Moore, MD is a medicare enrolled "Pediatrics" physician in Southfield, Michigan. Her current practice location is Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 358-0722.

Jacqueline P Moore is licensed to practice in Michigan (license number 4301038170) 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 1679620488.

Contact Information

	Jacqueline P Moore, MD
	Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, MI 48034
	(248) 358-0722
	(248) 358-8658

Map and Direction

Physician's Profile

Full Name	Jacqueline P Moore
Gender	Female
Speciality	Pediatrics
Location	Henry Ford Health System, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679620488
Provider Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567596042
Enrollment ID: I20100819000435

Medical Identifiers

Medical identifiers for Jacqueline P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679620488	NPI	-	NPPES
JM038170	Other		COMMERCIAL-COMMERCIAL NUMBER
JM038170	Other		CHAMPUS-CHAMPUS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301038170 (Michigan)	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. Jacqueline P Moore allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Jacqueline P 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
Jacqueline P Moore, MD Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, MI 48034 Ph: (248) 358-0722	Jacqueline P Moore, MD Henry Ford Health System, 22777 W. Eleven Mile Rd, Southfield, MI 48034 Ph: (248) 358-0722

Reviews and Comments

Pediatrics Doctors in Southfield, MI

Betty Yu Go, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000
Stefani J Hines, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30503 Greenfield Rd, Southfield, MI 48076 Phone: 248-691-4744 Fax: 248-691-4745
Eliyahou Kam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22255 Greenfield Ste 128, Providence Pavilion, Southfield, MI 48075 Phone: 248-569-0150 Fax: 248-569-0150
Dr. Susan Elizabeth Little Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076 Phone: 248-352-2000 Fax: 248-352-8800
Dr. Anant B Bhogaonker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22255 Greenfield Rd, Ste 320, Southfield, MI 48075 Phone: 248-559-7958 Fax: 248-559-9080
Mrs. Toyia Janay Richardson, NP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23077 Greenfield Rd Ste 253, Southfield, MI 48075 Phone: 248-559-5950
Ayah Shkoukani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15990 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-559-7958

Jacqueline P Moore, MD - Medicare Pediatrics in Southfield, MI