David Moore, OD is a medicare enrolled "Optometrist" provider in Radcliff, Kentucky. He went to Southern College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. His current practice location is
1165 Walmart Way, Radcliff, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 351-3937.
David Moore is licensed to practice in Kentucky (license number 1206DT) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871590596.
Healthcare Provider's Profile
| Full Name | David Moore |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 34 Years |
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| Location | 1165 Walmart Way, Radcliff, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Moore attended and graduated from Southern College Of Optometry in 1990
NPI Data:
- NPI Number: 1871590596
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 02/12/2015
Medicare PECOS Information:
- PECOS PAC ID: 1254312697
- Enrollment ID: I20040601000335
Medical Identifiers
Medical identifiers for David Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871590596 | NPI | - | NPPES |
| 77012060 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 1206DT (Kentucky) | Primary |
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. David Moore allows following entities to bill medicare on his behalf.
| Provider Name | David K Moore Od Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1629515630
PECOS PAC ID: 1254615727
Enrollment ID: O20170228002091 |
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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. David 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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David Moore, OD
1165 Walmart Way,
Radcliff, KY 40160-1471
Ph: (270) 351-3937 | David Moore, OD
1165 Walmart Way,
Radcliff, KY 40160-1471
Ph: (270) 351-3937 |
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