Paul Douglas Moore, MD - Medicare Emergency Medicine in Fountain Inn, SC

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Paul Douglas Moore, MD is a medicare enrolled "Family Medicine" physician in Fountain Inn, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Prisma Health University Medical Group and his current practice location is 910 N Main St Ste 100, Fountain Inn, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 967-4982.

Paul Douglas Moore is licensed to practice in South Carolina (license number 23342) 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 1194769661.

Contact Information

Paul Douglas Moore, MD
910 N Main St Ste 100,
Fountain Inn, SC 29644-1320
(864) 967-4982
Not Available

Map and Direction




Physician's Profile

Full NamePaul Douglas Moore
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location910 N Main St Ste 100, Fountain Inn, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Douglas Moore attended and graduated from Medical University Of South Carolina College Of Medicine in 1991
  NPI Data:
  • NPI Number: 1194769661
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 09/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082675574
  • Enrollment ID: I20041019000536

Medical Identifiers

Medical identifiers for Paul Douglas Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194769661NPI-NPPES
4591406OtherSCAETNA ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 23342 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ghs Laurens County Memorial HospitalClinton, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832206

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. Paul Douglas Moore allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameGreenville Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568532513
PECOS PAC ID: 8123938131
Enrollment ID: O20031212000723
Entity NamePrisma Health-upstate
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649726738
PECOS PAC ID: 5698063162
Enrollment ID: O20161222000767

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. Paul Douglas 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
Paul Douglas Moore, MD
1 Independence Pt Ste 212,
Greenville, SC 29615-4536

Ph: (864) 797-6174		Paul Douglas Moore, MD
910 N Main St Ste 100,
Fountain Inn, SC 29644-1320

Ph: (864) 967-4982

Reviews and Comments


Family Medicine Doctors in Fountain Inn, SC

Dr. James Roger Mahon, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 300 S Main St, Fountain Inn Family Practice, Fountain Inn, SC 29644
Phone: 864-862-3471    Fax: 864-862-2444
Caroline Parkin Faircloth, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 200 N Nelson Dr, Fountain Inn, SC 29644
Phone: 864-522-6270    Fax: 864-522-6275

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.