Tracy Moore, is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in San Dimas, California. His current practice location is
1335 Cypress St Ste 100, San Dimas, California. You can reach out to his office (for appointments etc.) via phone at
(909) 305-1383.
Tracy Moore is licensed to practice in California (license number 298059) 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 1497388417.
Physician's Profile
| Full Name | Tracy Moore |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1335 Cypress St Ste 100, San Dimas, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tracy Moore attended and graduated from in
NPI Data:
- NPI Number: 1497388417
- Provider Enumeration Date: 02/18/2020
- Last Update Date: 02/18/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tracy Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497388417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 298059 (California) | 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. Tracy 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 |
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Tracy Moore,
Po Box 99,
San Dimas, CA 91773-0099
Ph: (909) 305-1383 | Tracy Moore,
1335 Cypress St Ste 100,
San Dimas, CA 91773-3538
Ph: (909) 305-1383 |
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