Penelope S Moore, PT is a medicare enrolled "Physical Therapist" provider in Metter, Georgia. Her current practice location is
8 N Williams St, Metter, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 685-4331.
Penelope S Moore is licensed to practice in Georgia (license number PT001084) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619913506.
Healthcare Provider's Profile
| Full Name | Penelope S Moore |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 8 N Williams St, Metter, Georgia |
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| Accepts Medicare Assignments | Yes. She 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:
- Penelope S Moore attended and graduated from in
NPI Data:
- NPI Number: 1619913506
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 11/09/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Penelope S Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619913506 | NPI | - | NPPES |
| 000848768C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT001084 (Georgia) | 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. Penelope S 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 |
|---|
Penelope S Moore, PT
Po Box 211,
Metter, GA 30439-0211
Ph: (912) 685-4331 | Penelope S Moore, PT
8 N Williams St,
Metter, GA 30439-4547
Ph: (912) 685-4331 |
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