Dr Kyle R Moore, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Crosby, Minnesota. His current practice location is
320 East Main Street, Crosby, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 546-7000.
Dr Kyle R Moore is licensed to practice in Minnesota (license number 1051) 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 1093155442.
Healthcare Provider's Profile
Full Name | Dr Kyle R Moore |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 320 East Main Street, Crosby, Minnesota |
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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. |
Medical Education and Training:
- Dr Kyle R Moore attended and graduated from in
NPI Data:
- NPI Number: 1093155442
- Provider Enumeration Date: 06/30/2013
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kyle R Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093155442 | NPI | - | NPPES |
BJ7BU | Other | FL | FLORIDA BLUE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3825 (Florida) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1051 (Minnesota) | 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 Kyle R 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 Kyle R Moore, DPM 320 East Main Street, Crosby, MN 56441 Ph: (218) 546-7000 | Dr Kyle R Moore, DPM 320 East Main Street, Crosby, MN 56441 Ph: (218) 546-7000 |
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