Gloria Z. Moore D.c., P.a. in St Augustine, FL

Gloria Z. Moore D.c., P.a. is a medicare enrolled primary clinic (Clinic/center) in St Augustine, Florida. The current practice location for Gloria Z. Moore D.c., P.a. is 101 Whitehall Dr, Suite 102, St Augustine, Florida. For appointments, you can reach them via phone at (904) 794-0909. The mailing address for Gloria Z. Moore D.c., P.a. is 101 Whitehall Dr, Suite 102, St Augustine, Florida and phone number is (904) 794-0909.

Gloria Z. Moore D.c., P.a. is licensed to practice in Florida (license number CH 6819). The clinic also participates in the medicare program and its NPI number is 1417196106. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (904) 794-0909.

Contact Information

	Gloria Z. Moore D.c., P.a.
	101 Whitehall Dr Suite 102 St Augustine FL 32086-5268
	(904) 794-0909
	(904) 794-6700

Map and Direction

Primary Care Clinic Profile

Full Name	Gloria Z. Moore D.c., P.a.
Speciality	Clinic/Center
Location	101 Whitehall Dr, St Augustine, Florida
Authorized Official Name and Position	Gloria Z. Moore (PRESIDENT)
Authorized Official Contact	9047940909
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gloria Z. Moore D.c., P.a. 101 Whitehall Dr Suite 102 St Augustine FL 32086-5268 Ph: (904) 794-0909	Gloria Z. Moore D.c., P.a. 101 Whitehall Dr Suite 102 St Augustine FL 32086-5268 Ph: (904) 794-0909

NPI Details:

NPI Number	1417196106
Provider Enumeration Date	02/19/2009
Last Update Date	02/19/2009

Medicare PECOS Information:

Medicare PECOS PAC ID	4385701150
Medicare Enrollment ID	O20090323000201

Medical Identifiers

Medical identifiers for Gloria Z. Moore D.c., P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417196106	NPI	-	NPPES
1508814856	Other	FL	NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	CH 6819 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gloria Z. Moore D.c., P.a. acts as a billing entity for following providers:

Provider Name	Gloria Z Moore
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1508814856 PECOS PAC ID: 3971660895 Enrollment ID: I20090320000310

Reviews and Comments

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Gloria Z. Moore D.c., P.a. - Medicare Primary Care in St Augustine, FL