Jason Robert Moore, DPT, DO is a medicare enrolled "Emergency Medicine" provider in Tulsa, Oklahoma. His current practice location is
744 W 9th St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 599-1000.
Jason Robert Moore is licensed to practice in Oklahoma (license number 6450) 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 1902037104.
Healthcare Provider's Profile
| Full Name | Jason Robert Moore |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 744 W 9th St, Tulsa, 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:
- Jason Robert Moore attended and graduated from in
NPI Data:
- NPI Number: 1902037104
- Provider Enumeration Date: 08/05/2009
- Last Update Date: 05/06/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jason Robert Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902037104 | NPI | - | NPPES |
| 10025780200 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 2452 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 6450 (Oklahoma) | 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. Jason Robert 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 |
|---|
Jason Robert Moore, DPT, DO
744 W 9th St,
Tulsa, OK 74127-9020
Ph: (918) 599-1000 | Jason Robert Moore, DPT, DO
744 W 9th St,
Tulsa, OK 74127-9020
Ph: (918) 599-1000 |
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