Mr Matthew Henry Moore, PA-C - Medicare Physician Assistant in Miami, OK

Mr Matthew Henry Moore, PA-C is a medicare enrolled "Physician Assistant" in Miami, Oklahoma. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Grand Lake Mental Health Center, Inc., Northeastern Tribal Health System and his current practice location is 111 S Treaty Rd, Miami, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 540-1511.

Mr Matthew Henry Moore is licensed to practice in Oklahoma (license number 1732) 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 1700053394.

Contact Information

Mr Matthew Henry Moore, PA-C
111 S Treaty Rd,
Miami, OK 74354
(918) 540-1511
(918) 542-7374

Map and Direction




Provider's Profile

Full NameMr Matthew Henry Moore
GenderMale
SpecialityPhysician Assistant
Experience17 Years
Location111 S Treaty Rd, Miami, Oklahoma
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:
  • Mr Matthew Henry Moore graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1700053394
  • Provider Enumeration Date: 05/13/2008
  • Last Update Date: 01/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6901972561
  • Enrollment ID: I20100329000058

Medical Identifiers

Medical identifiers for Mr Matthew Henry Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700053394NPI-NPPES
200207110AMedicaidOK
100736700OMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1732 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Lake Mental Health Center, Inc.468871153472
Northeastern Tribal Health System791189385418

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 Matthew Henry 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
Mr Matthew Henry Moore, PA-C
111 S Treaty Rd,
Miami, OK 74354-5327

Ph: (918) 540-1511
Mr Matthew Henry Moore, PA-C
111 S Treaty Rd,
Miami, OK 74354

Ph: (918) 540-1511

Reviews and Comments


Physician Assistant Nurses in Miami, OK

Mrs. Julie D Finney, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 S Treaty Rd, Miami, OK 74354
Phone: 918-540-1511    Fax: 918-542-7374
Richard Clay Tessmer, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10 South Treaty Road, Miami, OK 74354
Phone: 918-542-6644    
Nichole Bateman, PA-C, MPAS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 2nd Ave Sw Ste 104, Miami, OK 74354
Phone: 918-540-7867    Fax: 918-540-7875
Larry L Walther, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21 W Central Ave, Miami, OK 74354
Phone: 918-542-3900    Fax: 918-542-3928
Kristin Stites,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 200 2nd Ave Sw, Miami, OK 74354
Phone: 918-542-6611    
Amy Elizabeth Mercer, PA C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 202 A St Sw, Miami, OK 74354
Phone: 918-541-9400    Fax: 918-541-9411

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.