Dr Kelsey Moore, OD in Plymouth, MN - Medicare Optometry Provider

Dr Kelsey Moore, OD is a medicare enrolled "Optometrist" provider in Plymouth, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Kennedy Vision Health Center, Llc and her current practice location is 10600 Old County Road 15, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 545-8850.

Dr Kelsey Moore is licensed to practice in Minnesota (license number 3563) 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 1154844017.

Contact Information

	Dr Kelsey Moore, OD
	10600 Old County Road 15, Plymouth, MN 55441-6200
	(763) 545-8850
	(763) 544-1257

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelsey Moore
Gender	Female
Speciality	Optometry
Experience	7 Years
Location	10600 Old County Road 15, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelsey Moore graduated from medical school in 2017

NPI Data:

NPI Number: 1154844017
Provider Enumeration Date: 07/24/2017
Last Update Date: 02/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1759711120
Enrollment ID: I20200427000837

Medical Identifiers

Medical identifiers for Dr Kelsey Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154844017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	3563 (Minnesota)	Secondary
152WV0400X	Optometrist - Vision Therapy	3563 (Minnesota)	Secondary
152W00000X	Optometrist	3563 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kennedy Vision Health Center, Llc	9739173659	6

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 Kelsey Moore allows following entities to bill medicare on her behalf.

Provider Name	Kennedy Vision Health Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1033203963 PECOS PAC ID: 9739173659 Enrollment ID: O20040413001418

Provider Name	Eagan Eye Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477732337 PECOS PAC ID: 0345220745 Enrollment ID: O20040726000300

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 Kelsey 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
Dr Kelsey Moore, OD 10600 Old County Road 15, Plymouth, MN 55441-6200 Ph: (763) 545-8850	Dr Kelsey Moore, OD 10600 Old County Road 15, Plymouth, MN 55441-6200 Ph: (763) 545-8850

Reviews and Comments

Optometrist in Plymouth, MN

Grant Sealock, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167
Kenndy Vision Health Center Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122
Dr. Nadia Siddiqi Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447 Phone: 763-559-4669 Fax: 763-559-4767

Dr Kelsey Moore, OD - Medicare Optometrist in Plymouth, MN