Kenneth P Moore, MD is a medicare enrolled "Urology" physician in Del Rio, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Val Verde Hospital Corporation and his current practice location is
801 N Bedell Ave, Del Rio, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 703-1733.
Kenneth P Moore is licensed to practice in Texas (license number P0100) 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 1700094240.
Physician's Profile
Full Name | Kenneth P Moore |
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Gender | Male |
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Speciality | Urology |
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Experience | 35 Years |
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Location | 801 N Bedell Ave, Del Rio, Texas |
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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:
- Kenneth P Moore attended and graduated from University Of Texas Medical School At San Antonio in 1989
NPI Data:
- NPI Number: 1700094240
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 10/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 5698675353
- Enrollment ID: I20040109001069
Medical Identifiers
Medical identifiers for Kenneth P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700094240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | P0100 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Val Verde Hospital Corporation | 0941112023 | 27 |
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. Kenneth P Moore allows following entities to bill medicare on his behalf.
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
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Entity Name | Val Verde Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
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Entity Name | Amistad Medical Professionals |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912211913 PECOS PAC ID: 7719171545 Enrollment ID: O20101104001611 |
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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. Kenneth 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 |
Kenneth P Moore, MD Po Box 437, San Antonio, TX 78292-0437 Ph: (210) 558-6288 | Kenneth P Moore, MD 801 N Bedell Ave, Del Rio, TX 78840-4112 Ph: (830) 703-1733 |
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