Mr Kelly L Moores, PA-C - Medicare Physician Assistant in Lakeland, FL

Mr Kelly L Moores, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Lakeland, Florida. She went to Saint Louis University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lakeland Regional Health Systems Inc and her current practice location is 3030 Harden Blvd, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 687-1250.

Mr Kelly L Moores is licensed to practice in * (Not Available) (license number ) 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 1417937194.

Contact Information

Mr Kelly L Moores, PA-C
3030 Harden Blvd,
Lakeland, FL 33803-7952
(863) 687-1250
(863) 687-1258

Map and Direction




Provider's Profile

Full NameMr Kelly L Moores
GenderFemale
SpecialityPhysician Assistant
Experience29 Years
Location3030 Harden Blvd, Lakeland, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kelly L Moores attended and graduated from Saint Louis University School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1417937194
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123051281
  • Enrollment ID: I20050919000237

Medical Identifiers

Medical identifiers for Mr Kelly L Moores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417937194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Regional Medical CenterLakeland, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Regional Health Systems Inc8325952914360

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. Mr Kelly L Moores 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
Mr Kelly L Moores, PA-C
1324 Lakeland Hills Blvd, Attn: Managed Care Dept,
Lakeland, FL 33805-4543

Ph: () -
Mr Kelly L Moores, PA-C
3030 Harden Blvd,
Lakeland, FL 33803-7952

Ph: (863) 687-1250

Reviews and Comments


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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).

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