Clen Damon Moore, MD in Sterling, VA - Pediatrics

Clen Damon Moore, MD is a Pediatrics physician based in Sterling, Virginia. Clen Damon Moore is licensed to practice in Virginia (license number 0101056399) and his current practice location is 46440 Benedict Dr, Ste 207, Sterling, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 444-2100.

NPI number for Clen Damon Moore is 1710982640 and his current mailing address is Po Box 17334, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710982640.

Contact Information

	Clen Damon Moore, MD
	46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602
	(703) 444-2100
	(703) 444-0386

Physician's Profile

Full Name	Clen Damon Moore
Gender	Male
Speciality	Pediatrics
Location	46440 Benedict Dr, Sterling, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1710982640
Provider Enumeration Date: 06/16/2005
Last Update Date: 03/29/2011

Medical Identifiers

Medical identifiers for Clen Damon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710982640	NPI	-	NPPES
1710982640	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101056399 (Virginia)	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. Clen Damon Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clen Damon Moore, MD Po Box 17334, Baltimore, MD 21297-1334 Ph: (703) 443-6717	Clen Damon Moore, MD 46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602 Ph: (703) 444-2100

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Pediatrics Doctors in Sterling, VA

Lolita Lopez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43547 Freeport Pl, Sterling, VA 20166 Phone: 703-996-8119
Mr. Charles J A Schulte Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Pidgeon Hill Dr, #202, Sterling, VA 20165 Phone: 703-444-1144 Fax: 703-444-6679
Lori R Andrew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46440 Benedict Dr, Ste 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386
Claude Farid Karam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21155 Whitfield Pl Ste 102, Sterling, VA 20165 Phone: 571-434-7337 Fax: 571-434-7338
Kimberly S Kolb, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 46440 Benedict Dr, Ste 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386
Dr. Hala Mohammad Abdallah, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Pidgeon Hill Dr, Suite 109, Sterling, VA 20165 Phone: 703-956-9045 Fax: 703-956-9822
Jamille T Cooper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46440 Benedict Drive, Suite 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386

Clen Damon Moore, MD - Pediatrics in Sterling, VA