Dr Mark D Moore, OD in Douglas, GA - Medicare Optometrist Provider

Dr Mark D Moore, OD is a medicare enrolled "Optometrist" provider in Douglas, Georgia. His current practice location is 504 Peterson Ave S, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 389-1230.

Dr Mark D Moore is licensed to practice in Georgia (license number OPT001723) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043328800.

Contact Information

	Dr Mark D Moore, OD
	504 Peterson Ave S, Douglas, GA 31533-5254
	(912) 389-1230
	(912) 389-1260

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark D Moore
Gender	Male
Speciality	Optometrist
Location	504 Peterson Ave S, Douglas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043328800
Provider Enumeration Date: 08/29/2006
Last Update Date: 03/20/2015

Medicare PECOS Information:

PECOS PAC ID: 5092740498
Enrollment ID: I20051005000208

Medical Identifiers

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

Identifier	Type	State	Issuer
1043328800	NPI	-	NPPES
457498953D	Medicaid	GA
GRP7442	Other	GA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT001723 (Georgia)	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. Dr Mark D Moore allows following entities to bill medicare on his behalf.

Provider Name	Moore Optometry Services, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952421679 PECOS PAC ID: 5092734392 Enrollment ID: O20051116000319

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 Mark D 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 Mark D Moore, OD 504 Peterson Ave S, Douglas, GA 31533-5254 Ph: (912) 389-1230	Dr Mark D Moore, OD 504 Peterson Ave S, Douglas, GA 31533-5254 Ph: (912) 389-1230

Reviews and Comments

Optometrist in Douglas, GA

Fitzgerald Family Eyecare, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1329 Ocilla Rd, Douglas, GA 31533 Phone: 912-393-0005 Fax: 912-393-0058
Larry E. Forth O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Drive, Suite 105, Douglas, GA 31533 Phone: 912-384-1840 Fax: 912-384-5976
Murphy Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 305 Shirley Ave, Douglas, GA 31533 Phone: 912-383-7212 Fax: 912-384-4924
Dr. Kevin Adam Murphy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 305 Shirley Ave, Douglas, GA 31533 Phone: 912-383-7212 Fax: 912-384-4924
Mihai Mocanu, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1450 Bowens Mill Rd Se, Douglas, GA 31533 Phone: 912-384-0119
Dr. Ellen Drury Fitzgerald, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1329 Ocilla Rd, Douglas, GA 31533 Phone: 912-393-0005 Fax: 912-393-0058

Dr Mark D Moore, OD - Medicare Optometrist in Douglas, GA