Jacob Bradley Moore, in Columbia, MO - Medicare Optometry Provider

Jacob Bradley Moore, is a medicare enrolled "Optometrist" provider in Columbia, Missouri. He went to University Of Missouri St Louis - School Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Columbia Eye Consultants Optometry and his current practice location is 500 N Keene St, Suite 103, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 874-2030.

Jacob Bradley Moore is licensed to practice in Missouri (license number 2021020987) 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 1063080554.

Contact Information

	Jacob Bradley Moore,
	500 N Keene St, Suite 103, Columbia, MO 65201-8104
	(573) 874-2030
	(573) 449-0253

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Bradley Moore
Gender	Male
Speciality	Optometry
Experience	3 Years
Location	500 N Keene St, Columbia, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Bradley Moore attended and graduated from University Of Missouri St Louis - School Of Optometry in 2021

NPI Data:

NPI Number: 1063080554
Provider Enumeration Date: 06/11/2021
Last Update Date: 06/11/2021

Medicare PECOS Information:

PECOS PAC ID: 3678973336
Enrollment ID: I20210617000398

Medical Identifiers

Medical identifiers for Jacob Bradley Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063080554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2021020987 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbia Eye Consultants Optometry	2769574714	13

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. Jacob Bradley Moore allows following entities to bill medicare on his behalf.

Provider Name	Columbia Eye Consultants Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346396033 PECOS PAC ID: 2769574714 Enrollment ID: O20070822000541

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. Jacob Bradley 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
Jacob Bradley Moore, 500 N Keene St, Suite 103, Columbia, MO 65201-8104 Ph: (573) 874-2030	Jacob Bradley Moore, 500 N Keene St, Suite 103, Columbia, MO 65201-8104 Ph: (573) 874-2030

Reviews and Comments

Optometrist in Columbia, MO

Dr. Douglas George Biggs, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2301 W Worley St, J C Penney Optical, Columbia, MO 65203 Phone: 573-445-9750 Fax: 573-445-2917
Dr. Debra R Renner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1400 Forum Blvd, Columbia, MO 65203 Phone: 573-446-0331 Fax: 573-446-6991
Jeffrey M Gamble, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Keene St, Suite 103, Columbia, MO 65201 Phone: 573-874-2030 Fax: 573-449-0253
Richard Delano Iv, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1506 Fax: 573-884-5575
Sukhvir Kaur, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1205 Grindstone Pkwy Ste 113, Columbia, MO 65201 Phone: 573-442-5725
Dr. Harry M Sulzberger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Keene St, Ste 103, Columbia, MO 65201 Phone: 573-874-2030 Fax: 573-449-0253

Jacob Bradley Moore, - Medicare Optometrist in Columbia, MO