Lisa Moore, - Medicare Family Practice in Culver City, CA

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Lisa Moore, is a medicare enrolled "Family Medicine" physician in Culver City, California. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Venice Family Clinic and her current practice location is 4700 Inglewood Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (310) 392-8636.

Lisa Moore is licensed to practice in California (license number A173679) 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 1063827343.

Contact Information

Lisa Moore,
4700 Inglewood Blvd,
Culver City, CA 90230-5896
(310) 392-8636
Not Available

Map and Direction




Physician's Profile

Full NameLisa Moore
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location4700 Inglewood Blvd, Culver City, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Moore attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1063827343
  • Provider Enumeration Date: 06/25/2014
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224330105
  • Enrollment ID: I20240202002531

Medical Identifiers

Medical identifiers for Lisa Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063827343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A173679 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Venice Family Clinic226433912650

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. Lisa Moore allows following entities to bill medicare on her behalf.
Entity NameVenice Family Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669418513
PECOS PAC ID: 2264339126
Enrollment ID: O20031217001082

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. Lisa 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 AddressPractice Location Address
Lisa Moore,
2050 Pfingsten Rd,
Glenview, IL 60026-1324

Ph: () -		Lisa Moore,
4700 Inglewood Blvd,
Culver City, CA 90230-5896

Ph: (310) 392-8636

Reviews and Comments


Family Medicine Doctors in Culver City, CA

Elham Ghadishah, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3831 Hughes Ave, Suite 708, Culver City, CA 90232
Phone: 323-936-8800    Fax: 310-441-7739
Dr. David Louis Schechter, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 10811 Washington Blvd, Suite 250, Culver City, CA 90232
Phone: 310-836-2225    Fax: 310-694-9814
Angela Y Mosby, M.D.
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Practice Location: 6000 Sepulveda Blvd Ste 2660, Culver City, CA 90230
Phone: 310-313-0020    Fax: 310-313-0060
Mark Kurzman, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 5901 Green Valley Cir Ste 405, Culver City, CA 90230
Phone: 244-266-7474    
Mrs. Ada Elena Del Rivero Yamuy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3831 Hughes Ave, Suite 101, Culver City, CA 90232
Phone: 310-204-0104    Fax: 310-204-0171
Rina Suzuki,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6000 Sepulveda Blvd Ste 2660, Culver City, CA 90230
Phone: 310-313-0020    Fax: 310-313-0060

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.