Jeffrey M Moore Od Pa is a medicare enrolled "Optometrist" provider in Pt Charlotte, Florida. Their current practice location is
1444 Tamiami Trail, 481, Pt Charlotte, Florida. You can reach out to their office (for appointments etc.) via phone at
(941) 255-0588.
Jeffrey M Moore Od Pa is licensed to practice in Florida (license number OPC1680) and it also participates in the medicare program. Jeffrey M Moore Od Pa
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1568537454.
Healthcare Provider's Profile
| Full Name | Jeffrey M Moore Od Pa |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1444 Tamiami Trail, Pt Charlotte, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568537454
- Provider Enumeration Date: 11/24/2006
- Last Update Date: 01/12/2009
Medicare PECOS Information:
- PECOS PAC ID: 7113175647
- Enrollment ID: O20120907000108
Medical Identifiers
Medical identifiers for Jeffrey M Moore Od Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568537454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC1680 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jeffrey M Moore Od Pa acts as a billing entity for following providers:
| Provider Name | Jeffrey M Moore |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1447275557
PECOS PAC ID: 9931180684
Enrollment ID: I20040527000963 |
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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. Jeffrey M Moore Od Pa 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 |
|---|
Jeffrey M Moore Od Pa
5142 Sw 3rd Ave,
Cape Coral, FL 33914-7119
Ph: (239) 549-2506 | Jeffrey M Moore Od Pa
1444 Tamiami Trail, 481,
Pt Charlotte, FL 33948
Ph: (941) 255-0588 |
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