Marita L Moore, MD in Newark, OH - Medicare Family Practice

Marita L Moore, MD is a medicare enrolled "Family Medicine" physician in Newark, Ohio. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Licking Memorial Professional Corporation and her current practice location is 1272 W Main St Ste 206, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at (220) 564-4824.

Marita L Moore is licensed to practice in Ohio (license number 35.094506) 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 1528157468.

Contact Information

	Marita L Moore, MD
	1272 W Main St Ste 206, Newark, OH 43055-2060
	(220) 564-4824
	(220) 564-1896

Map and Direction

Physician's Profile

Full Name	Marita L Moore
Gender	Female
Speciality	Family Practice
Experience	28 Years
Location	1272 W Main St Ste 206, Newark, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marita L Moore attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1996

NPI Data:

NPI Number: 1528157468
Provider Enumeration Date: 10/11/2006
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4981679776
Enrollment ID: I20091231000031

Medical Identifiers

Medical identifiers for Marita L Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528157468	NPI	-	NPPES
3049883	Medicaid	OH
0473009	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	36336 (Iowa)	Secondary
207Q00000X	Family Medicine	036-098387 (Illinois)	Secondary
207Q00000X	Family Medicine	35.094506 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Generation Home Health Llc	Newark, OH	Home health agency
Licking Memorial Hospital	Newark, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Licking Memorial Professional Corporation	6204740731	202

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. Marita L Moore allows following entities to bill medicare on her behalf.

Entity Name	Licking Memorial Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131

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. Marita L 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
Marita L Moore, MD 1272 W Main St Ste 206, Newark, OH 43055-2060 Ph: (220) 564-4824	Marita L Moore, MD 1272 W Main St Ste 206, Newark, OH 43055-2060 Ph: (220) 564-4824

Reviews and Comments

Family Medicine Doctors in Newark, OH

Dr. Carl Waggoner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 5, Newark, OH 43055 Phone: 740-348-1788 Fax: 740-348-1789
Dr. Talya Greathouse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 200, Newark, OH 43055 Phone: 220-564-1706 Fax: 220-564-1707
Dr. Pattye Whisman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Mcmillen Dr, Newark, OH 43055 Phone: 220-564-4827 Fax: 220-564-1894
Dr. Matthew R Harris, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1272 W Main St Ste 503, Newark, OH 43055 Phone: 220-564-1778 Fax: 220-564-1779
Katrina M Timson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Main St, Newark, OH 43055 Phone: 220-564-1846 Fax: 220-564-1847
Donald J Fairbanks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Goosepond Rd, Newark, OH 43055 Phone: 220-564-7960 Fax: 220-564-7961
Dr. Michael Eugene Campolo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1930 Tamarack Rd, Newark, OH 43055 Phone: 740-522-7600 Fax: 740-522-6399

Marita L Moore, MD - Medicare Family Practice in Newark, OH