Dr Clayton Moore, PHARMD, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Tarboro, North Carolina. His current practice location is
111 Hospital Dr, Tarboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 641-7700.
Dr Clayton Moore is licensed to practice in North Carolina (license number 0010-07792) 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 1073938577.
Healthcare Provider's Profile
| Full Name | Dr Clayton Moore |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 111 Hospital Dr, Tarboro, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073938577
- Provider Enumeration Date: 02/20/2014
- Last Update Date: 01/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204198120
- Enrollment ID: I20180313000442
Medical Identifiers
Medical identifiers for Dr Clayton Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073938577 | NPI | - | NPPES |
| 222426 | Other | NC | NC STATE LICENSE NUMBER- PHARMACY |
| 0010-07792 | Other | NC | NC PA LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 22426 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-07792 (North Carolina) | Primary |
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 Clayton 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 Clayton Moore, PHARMD, PA-C
111 Hospital Dr,
Tarboro, NC 27886-2011
Ph: (252) 641-7700 | Dr Clayton Moore, PHARMD, PA-C
111 Hospital Dr,
Tarboro, NC 27886-2011
Ph: (252) 641-7700 |
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