Gina Diana Moore, MPT in Philadelphia, PA - Medicare Physical Therapist Provider

Gina Diana Moore, MPT is a medicare enrolled "Physical Therapist" provider in Philadelphia, Pennsylvania. Her current practice location is 511 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 923-6031.

Gina Diana Moore is licensed to practice in Pennsylvania (license number PT009919E) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376740712.

Contact Information

	Gina Diana Moore, MPT
	511 N Broad St, Philadelphia, PA 19123-3230
	(215) 923-6031
	(215) 923-8269

Map and Direction

Healthcare Provider's Profile

Full Name	Gina Diana Moore
Gender	Female
Speciality	Physical Therapist
Location	511 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376740712
Provider Enumeration Date: 06/29/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4587846076
Enrollment ID: I20110304000036

Medical Identifiers

Medical identifiers for Gina Diana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376740712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT009919E (Pennsylvania)	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. Gina Diana Moore allows following entities to bill medicare on her behalf.

Provider Name	Advance Therapy Associates, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780959718 PECOS PAC ID: 4284897455 Enrollment ID: O20120525000410

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. Gina Diana 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
Gina Diana Moore, MPT 4812 N 5th St, Philadelphia, PA 19120-4125 Ph: (215) 324-6082	Gina Diana Moore, MPT 511 N Broad St, Philadelphia, PA 19123-3230 Ph: (215) 923-6031

Reviews and Comments

Physical Therapist in Philadelphia, PA

Mr. James Blakely, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 E Wadsworth Ave, Unit 1, Philadelphia, PA 19150 Phone: 267-323-2778 Fax: 267-323-2774
Meredith Mayes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 420 Bainbridge St, Philadelphia, PA 19147 Phone: 215-629-3837 Fax: 215-629-5531
Vincent Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 133 W Hunting Park Ave, Philadelphia, PA 19140 Phone: 215-455-5370
Maureen Higgins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 N Independence Mall W, Philadelphia, PA 19106 Phone: 215-413-0600 Fax: 215-413-0684
Jennifer Dekerlegand, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 White Building, Philadelphia, PA 19104 Phone: 215-662-3265
Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832

Gina Diana Moore, MPT - Medicare Physical Therapist in Philadelphia, PA