Mary Kathleen Moore, DO in Tahlequah, OK - Medicare Emergency Medicine

Mary Kathleen Moore, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Tahlequah, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Northeastern Health System and her current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 458-3104.

Mary Kathleen Moore is licensed to practice in Oklahoma (license number 3976) 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 1902837776.

Contact Information

	Mary Kathleen Moore, DO
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3104
	(918) 458-3580

Map and Direction

Physician's Profile

Full Name	Mary Kathleen Moore
Gender	Female
Speciality	Emergency Medicine
Experience	23 Years
Location	100 S Bliss Ave, Tahlequah, Oklahoma
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:

Mary Kathleen Moore attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2001

NPI Data:

NPI Number: 1902837776
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537063037
Enrollment ID: I20040126000884

Medical Identifiers

Medical identifiers for Mary Kathleen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902837776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	3976 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeastern Health System	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Health System	1456255025	94

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. Mary Kathleen Moore allows following entities to bill medicare on her behalf.

Entity Name	Northeastern Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250

Entity Name	Adair County Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972780765 PECOS PAC ID: 9638065907 Enrollment ID: O20040224000664

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. Mary Kathleen 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
Mary Kathleen Moore, DO Po Box 675, Tahlequah, OK 74465-0675 Ph: (918) 458-5583	Mary Kathleen Moore, DO 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3104

Reviews and Comments

Emergency Medicine Doctors in Tahlequah, OK

Stephan M Yost, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Muhammad Ghias, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Dr. William Jack Myers Jr., D.O Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Brian William Duignan, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511
Dr. Jason Jasper Ballew, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641
Dr. Kimberly Jane Collins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15100 N 593 Rd, Tahlequah, OK 74464 Phone: 918-822-3302
Dr. Nanetta Bonita Lowe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100

Mary Kathleen Moore, DO - Medicare Emergency Medicine in Tahlequah, OK