Richard Moore Jr, in St Louis Park, MN

Richard Moore Jr, is a medicare enrolled "Internal Medicine - Nephrology" physician in St Louis Park, Minnesota. He went to Columbia University College Of Physicians And Surgeons and graduated in 1990 and has 34 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Hutchinson Health, Park Nicollet Clinic and his current practice location is 3931 Louisiana Ave S, Suite W300, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3265.

Richard Moore Jr is licensed to practice in Minnesota (license number 34906) 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 1861479834.

Contact Information

	Richard Moore Jr,
	3931 Louisiana Ave S, Suite W300, St Louis Park, MN 55426-4375
	(952) 993-3265
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Moore Jr
Gender	Male
Speciality	Nephrology
Experience	34 Years
Location	3931 Louisiana Ave S, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard Moore Jr attended and graduated from Columbia University College Of Physicians And Surgeons in 1990

NPI Data:

NPI Number: 1861479834
Provider Enumeration Date: 12/29/2005
Last Update Date: 03/05/2012

Medicare PECOS Information:

PECOS PAC ID: 9133264146
Enrollment ID: I20100302000604

Medical Identifiers

Medical identifiers for Richard Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861479834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	34906 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Louis Park Dialysis Of Davita	Saint louis park, MN	Dialysis facility
Davita - Glencoe Dialysis	Glencoe, MN	Dialysis facility
Fmc Dialysis - Hutchinson	Hutchinson, MN	Dialysis facility
Hutchinson Health	Hutchinson, MN	Hospital
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital
Glencoe Regional Health Services	Glencoe, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hutchinson Health	0345330072	112
Park Nicollet Clinic	7911819438	1530

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. Richard Moore Jr allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Glencoe Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20031119000252

Entity Name	Glencoe Regional Health Services
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1508885633 PECOS PAC ID: 1759292980 Enrollment ID: O20060504000699

Entity Name	Hutchinson Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695

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. Richard Moore Jr 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
Richard Moore Jr, 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () -	Richard Moore Jr, 3931 Louisiana Ave S, Suite W300, St Louis Park, MN 55426-4375 Ph: (952) 993-3265

Reviews and Comments

Internal Medicine Doctors in St Louis Park, MN

Cara Houle, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Janet Grayson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6600
Keith Harmon, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426 Phone: 952-993-3242
Jeffrey J Shultz, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010
Amanda J Calvin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230
Sarah Evert, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025
Stevie Maxwell, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000

Richard Moore Jr, - Medicare Nephrology in St Louis Park, MN