Jeffrey Ryan Moore, - Medicare Internal Medicine in Portsmouth, VA

Jeffrey Ryan Moore, is a medicare enrolled "Internal Medicine" physician in Portsmouth, Virginia. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-3149.

Jeffrey Ryan Moore is licensed to practice in Virginia (license number 0101254499) 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 1285907055.

Contact Information

Jeffrey Ryan Moore,
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111
(757) 953-3149
Not Available

Map and Direction




Physician's Profile

Full NameJeffrey Ryan Moore
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeffrey Ryan Moore attended and graduated from East Tennessee State University Quillen College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1285907055
  • Provider Enumeration Date: 02/09/2012
  • Last Update Date: 04/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3870882301
  • Enrollment ID: I20191108000875

Medical Identifiers

Medical identifiers for Jeffrey Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285907055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0101254499 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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. Jeffrey Ryan Moore allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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. Jeffrey Ryan 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
Jeffrey Ryan Moore,
Naval Hospital Twentynine Palms, 1145 Sturgis Rd,
Twentynine Palms, CA 92278

Ph: (760) 830-2082
Jeffrey Ryan Moore,
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111

Ph: (757) 953-3149

Reviews and Comments


Internal Medicine Doctors in Portsmouth, VA

Dr. Imtiaz Zaman, MD
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Medicare: Medicare Enrolled
Practice Location: 805 Rodman Ave, Portsmouth, VA 23707
Phone: 757-399-1970    Fax: 757-436-3460
Dr. Sally G Tamayo, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-9804    Fax: 757-953-0811
Dr. Stephen Alexander Koplin, M.D.
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Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Tyler Church, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708
Phone: 757-953-2266    
Dr. Robert J. Accettola, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3737 High St, Portsmouth, VA 23707
Phone: 757-686-9400    Fax: 757-686-9449
Dr. Varea Costello, DO, MPH
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3647    
Guenola Hunt, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-1051    Fax: 757-953-1036

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.