Johanna Baran Moore, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Santa Maria, California. She went to Ohio State University College Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Diagnostic Pathology Services Of The Central Coast, Santa Maria Gastroenterology Medical Group Inc. and her current practice location is
1400 E Church St, Santa Maria, California. You can reach out to her office (for appointments etc.) via phone at
(805) 548-1550.
Johanna Baran Moore is licensed to practice in California (license number A117062) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851427595.
Physician's Profile
| Full Name | Johanna Baran Moore |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 18 Years |
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| Location | 1400 E Church St, Santa Maria, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Johanna Baran Moore attended and graduated from Ohio State University College Of Medicine in 2006
NPI Data:
- NPI Number: 1851427595
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022287457
- Enrollment ID: I20110801000745
Medical Identifiers
Medical identifiers for Johanna Baran Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851427595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A117062 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Diagnostic Pathology Services Of The Central Coast | 4284871658 | 8 |
| Santa Maria Gastroenterology Medical Group Inc. | 6709070964 | 20 |
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. Johanna Baran Moore allows following entities to bill medicare on her behalf.
| Entity Name | Santa Maria Gastroenterology Medical Group Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386971687
PECOS PAC ID: 6709070964
Enrollment ID: O20101101001401 |
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| Entity Name | Diagnostic Pathology Services Of The Central Coast |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942549068
PECOS PAC ID: 4284871658
Enrollment ID: O20130503000167 |
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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. Johanna Baran 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 |
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Johanna Baran Moore, MD
1414 E Main St Ste 102,
Santa Maria, CA 93454-4813
Ph: (805) 548-1550 | Johanna Baran Moore, MD
1400 E Church St,
Santa Maria, CA 93454-5906
Ph: (805) 548-1550 |
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