John William Moore, DO is a medicare enrolled "Family Medicine" physician in Chincoteague Island, Virginia. His current practice location is
4049 Main St, Chincoteague Island, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 336-3682.
John William Moore is licensed to practice in North Carolina (license number 9801401) 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 1235163668.
Physician's Profile
| Full Name | John William Moore |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 4049 Main St, Chincoteague Island, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235163668
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 02/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860441276
- Enrollment ID: I20170411000429
Medical Identifiers
Medical identifiers for John William Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235163668 | NPI | - | NPPES |
| 343893A | Medicaid | NC | |
| 891166L | Medicaid | NC | |
| 1166L | Other | NC | BC BS NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 9801401 (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. John William Moore allows following entities to bill medicare on his behalf.
| Entity Name | Inova Physician Partners Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215264916
PECOS PAC ID: 2466581772
Enrollment ID: O20110519000499 |
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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. John William 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 |
|---|
John William Moore, DO
4049 Main St,
Chincoteague Island, VA 23336-2406
Ph: (704) 942-5603 | John William Moore, DO
4049 Main St,
Chincoteague Island, VA 23336-2406
Ph: (757) 336-3682 |
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