Dr Douglas Loran Moore, OD is a medicare enrolled "Optometrist" provider in Mountain Grove, Missouri. He went to Southern College Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Moore Family Eyecare, Llc and his current practice location is
1902 W 19th St, Suite A, Mountain Grove, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 926-3937.
Dr Douglas Loran Moore is licensed to practice in Missouri (license number T03463) 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 1679574396.
Healthcare Provider's Profile
| Full Name | Dr Douglas Loran Moore |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 25 Years |
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| Location | 1902 W 19th St, Mountain Grove, Missouri |
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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:
- Dr Douglas Loran Moore attended and graduated from Southern College Of Optometry in 1999
NPI Data:
- NPI Number: 1679574396
- Provider Enumeration Date: 08/03/2005
- Last Update Date: 08/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 6002947785
- Enrollment ID: I20100624000164
Medical Identifiers
Medical identifiers for Dr Douglas Loran Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679574396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | T03463 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Moore Family Eyecare, Llc | 8022149707 | 2 |
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. Dr Douglas Loran Moore allows following entities to bill medicare on his behalf.
| Provider Name | Moore Family Eyecare, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053631770
PECOS PAC ID: 8022149707
Enrollment ID: O20100624000086 |
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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. Dr Douglas Loran 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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Dr Douglas Loran Moore, OD
1902 W 19th St, Suite A,
Mountain Grove, MO 65711-1287
Ph: (417) 926-3937 | Dr Douglas Loran Moore, OD
1902 W 19th St, Suite A,
Mountain Grove, MO 65711-1287
Ph: (417) 926-3937 |
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