Kimiko Jean Moore, MD in Hermitage, TN - Medicare Family Medicine

Kimiko Jean Moore, MD is a medicare enrolled "Family Medicine" physician in Hermitage, Tennessee. Her current practice location is 3901 Central Pike Ste 500, Hermitage, Tennessee. You can reach out to her office (for appointments etc.) via phone at (502) 792-0236.

Kimiko Jean Moore is licensed to practice in Tennessee (license number 65954) 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 1750843637.

Contact Information

	Kimiko Jean Moore, MD
	3901 Central Pike Ste 500, Hermitage, TN 37076-3431
	(502) 792-0236
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimiko Jean Moore
Gender	Female
Speciality	Family Medicine
Location	3901 Central Pike Ste 500, Hermitage, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750843637
Provider Enumeration Date: 04/01/2019
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9436533734
Enrollment ID: I20220906002865

Medical Identifiers

Medical identifiers for Kimiko Jean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750843637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	65954 (Tennessee)	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. Kimiko Jean Moore allows following entities to bill medicare on her behalf.

Entity Name	Afc Physicians Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880

Entity Name	Moore Life Healthcare, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760877419 PECOS PAC ID: 7113228461 Enrollment ID: O20151210002559

Entity Name	Kdpctn
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679262737 PECOS PAC ID: 3577919083 Enrollment ID: O20231019001454

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. Kimiko Jean 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
Kimiko Jean Moore, MD 9200 Shelbyville Rd Ste 531, Louisville, KY 40222-5132 Ph: (502) 792-0236	Kimiko Jean Moore, MD 3901 Central Pike Ste 500, Hermitage, TN 37076-3431 Ph: (502) 792-0236

Reviews and Comments

Family Medicine Doctors in Hermitage, TN

Robert Bernard Gaston Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3939 Central Pike, Hermitage, TN 37076 Phone: 615-883-2331 Fax: 615-391-1785
John M Pope, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 Old Hickory Boulevard, Suite 205, Hermitage, TN 37076 Phone: 615-938-7190 Fax: 615-938-7191
Angela Lee Willis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5651 Frist Blvd, Suite 713, Hermitage, TN 37076 Phone: 615-316-5662 Fax: 615-316-5666
Dr. Steven Ross Kinney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 244 Jackson Meadows Dr, Hermitage, TN 37076 Phone: 615-874-9888 Fax: 615-883-6899
Dr. Robert William Guth, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4777 Andrew Jackson Pkwy, Suite 101, Hermitage, TN 37076 Phone: 615-889-0134 Fax: 615-889-0135
Mindi Hamby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3939 Central Pike, Hermitage, TN 37076 Phone: 615-883-2331 Fax: 615-391-1785
Kathy Grove, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 200, Hermitage, TN 37076 Phone: 615-885-0200

Kimiko Jean Moore, MD - Medicare Family Medicine in Hermitage, TN