Michael T Moore, MD is a
Radiology - Diagnostic Radiology physician based in Nevada, Missouri. Michael T Moore is licensed to practice in Missouri (license number R7354) and his current practice location is 1008 N Washington St, Nevada, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 667-3919.
NPI number for Michael T Moore is 1629053707 and his current mailing address is 1008 N Washington St, Nevada, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629053707.
Physician's Profile
Full Name | Michael T Moore |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1008 N Washington St, Nevada, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629053707
- Provider Enumeration Date: 12/12/2005
- Last Update Date: 11/02/2011
Medical Identifiers
Medical identifiers for Michael T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629053707 | NPI | - | NPPES |
200214005 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | R7354 (Missouri) | Primary |
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. Michael T Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael T Moore, MD 1008 N Washington St, Nevada, MO 64772-1463 Ph: (417) 667-3919 | Michael T Moore, MD 1008 N Washington St, Nevada, MO 64772-1463 Ph: (417) 667-3919 |
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