Kyle Von Moore, DO in Salt Lake City, UT - Medicare Family Practice

Kyle Von Moore, DO is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Peters Health and his current practice location is 501 S Chipeta Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-7951.

Kyle Von Moore is licensed to practice in Utah (license number 11273463-1204) 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 1154785616.

Contact Information

	Kyle Von Moore, DO
	501 S Chipeta Way, Salt Lake City, UT 84108-1222
	(801) 581-7951
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyle Von Moore
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	501 S Chipeta Way, Salt Lake City, Utah
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:

Kyle Von Moore attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2016

NPI Data:

NPI Number: 1154785616
Provider Enumeration Date: 04/11/2016
Last Update Date: 06/18/2019

Medicare PECOS Information:

PECOS PAC ID: 3274825344
Enrollment ID: I20200813000157

Medical Identifiers

Medical identifiers for Kyle Von Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154785616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	62587 (Minnesota)	Secondary
2084A0401X	Psychiatry & Neurology - Addiction Medicine	11273463-1204 (Utah)	Secondary
207Q00000X	Family Medicine	11273463-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Peter's Health Home Health And Hospice	Helena, MT	Home health agency
St Peters Hospital	Helena, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Peters Health	7911814926	163

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. Kyle Von Moore allows following entities to bill medicare on his behalf.

Entity Name	St Peters Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205025145 PECOS PAC ID: 7911814926 Enrollment ID: O20031204001245

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. Kyle Von 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
Kyle Von Moore, DO 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 581-7951	Kyle Von Moore, DO 501 S Chipeta Way, Salt Lake City, UT 84108-1222 Ph: (801) 581-7951

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Kyle Von Moore, DO - Medicare Family Practice in Salt Lake City, UT