Michael Ryan Moore, DPT in Charleston, SC - Medicare Physical Therapist Provider

Michael Ryan Moore, DPT is a medicare enrolled "Physical Therapist" provider in Charleston, South Carolina. His current practice location is 628th Medical Group, 204 West Hill Blvd, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (804) 571-5000.

Michael Ryan Moore is licensed to practice in South Carolina (license number 8765) 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 1033422902.

Contact Information

	Michael Ryan Moore, DPT
	628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404
	(804) 571-5000
	(804) 518-1314

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Ryan Moore
Gender	Male
Speciality	Physical Therapist
Location	628th Medical Group, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033422902
Provider Enumeration Date: 07/21/2010
Last Update Date: 03/21/2018

Medicare PECOS Information:

PECOS PAC ID: 1254455447
Enrollment ID: I20240301003274

Medical Identifiers

Medical identifiers for Michael Ryan Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033422902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305206565 (Virginia)	Secondary
225100000X	Physical Therapist	8765 (South Carolina)	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. Michael Ryan Moore allows following entities to bill medicare on his behalf.

Provider Name	Agilitas Usa Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796

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. Michael Ryan 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
Michael Ryan Moore, DPT 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 Ph: (804) 571-5000	Michael Ryan Moore, DPT 628th Medical Group, 204 West Hill Blvd, Charleston, SC 29404 Ph: (804) 571-5000

Reviews and Comments

Physical Therapist in Charleston, SC

Mrs. Sarah Amy Fox Maurer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 Ellis Oak Dr, Charleston, SC 29412 Phone: 843-266-1540 Fax: 843-266-1567
Mr. Bruce Alan Reeves, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave, Room, 3sw Wing, Charleston, SC 29425 Phone: 843-792-3481 Fax: 843-792-0724
Mark L Pilon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Bishop Gadsden Way, Charleston, SC 29412 Phone: 843-406-6302 Fax: 843-406-6540
Gabriel Mattson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407 Phone: 843-576-4121 Fax: 843-793-3575
Pluff Mud Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1849 Capri Dr, Charleston, SC 29407 Phone: 843-270-8505
Volk Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 96 Rutledge Ave Apt E, Charleston, SC 29401 Phone: 704-575-6541
Dr. Caitlin Mary Keller, PT, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Mcclennan Banks Dr, Charleston, SC 29401 Phone: 843-985-2128

Michael Ryan Moore, DPT - Medicare Physical Therapist in Charleston, SC