Dr Timothy Dean Moore, OD, PC is a medicare enrolled "Optometrist" provider in Stroud, Oklahoma. He graduated from medical school in 1975 and has 50 years of diverse experience with area of expertise as Optometry. His current practice location is
109 W Main St, Stroud, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 968-3422.
Dr Timothy Dean Moore is licensed to practice in Oklahoma (license number 897) 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 1417935008.
Healthcare Provider's Profile
| Full Name | Dr Timothy Dean Moore |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 50 Years |
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| Location | 109 W Main St, Stroud, Oklahoma |
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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 Timothy Dean Moore graduated from medical school in 1975
NPI Data:
- NPI Number: 1417935008
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 02/25/2008
Medicare PECOS Information:
- PECOS PAC ID: 7012014954
- Enrollment ID: I20070529000505
Medical Identifiers
Medical identifiers for Dr Timothy Dean Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417935008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 897 (Oklahoma) | 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 Timothy Dean Moore allows following entities to bill medicare on his behalf.
| Provider Name | Timothy D Moore Od Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508999145
PECOS PAC ID: 0648377580
Enrollment ID: O20070529000514 |
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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 Timothy Dean 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 Timothy Dean Moore, OD, PC
Po Box 237, 109 W. Main St.,
Stroud, OK 74079-0237
Ph: (918) 968-3422 | Dr Timothy Dean Moore, OD, PC
109 W Main St,
Stroud, OK 74079-3607
Ph: (918) 968-3422 |
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