Dr Deshon T Moore, MD - Medicare Emergency Medicine in Hazel Crest, IL

Dr Deshon T Moore, MD is a medicare enrolled "Emergency Medicine" physician in Hazel Crest, Illinois. He went to Wayne State University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 17800 Kedzie Ave, Hazel Crest, Illinois. You can reach out to his office (for appointments etc.) via phone at (248) 229-6654.

Dr Deshon T Moore is licensed to practice in Illinois (license number 036.132147) 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 1417392739.

Contact Information

Dr Deshon T Moore, MD
17800 Kedzie Ave,
Hazel Crest, IL 60429-2029
(248) 229-6654
Not Available



Physician's Profile

Full NameDr Deshon T Moore
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location17800 Kedzie Ave, Hazel Crest, Illinois
Accepts Medicare AssignmentsYes. 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 Deshon T Moore attended and graduated from Wayne State University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1417392739
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 05/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577704527
  • Enrollment ID: I20130802000382

Medical Identifiers

Medical identifiers for Dr Deshon T Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417392739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036.132147 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Trinity HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009352422

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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. Dr Deshon T Moore allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

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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 Deshon T 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 AddressPractice Location Address
Dr Deshon T Moore, MD
29373 Network Pl,
Chicago, IL 60673-1293

Ph: (847) 390-5900
Dr Deshon T Moore, MD
17800 Kedzie Ave,
Hazel Crest, IL 60429-2029

Ph: (248) 229-6654

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Emergency Medicine Doctors in Hazel Crest, IL

Dr. Ronald Lawton, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429
Phone: 773-363-1090    
Lindy Triebes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429
Phone: 708-213-4200    
Veronica W Robinson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429
Phone: 708-799-8000    Fax: 708-213-0144
Gameli Dekayie Bush, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429
Phone: 708-213-4200    Fax: 708-213-0144
Dr. Nadija Mara Rieser, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429
Phone: 708-213-4200    Fax: 708-213-0144
Stewart Reingold, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 17800 Kedzie Ave, Advocate South Suburban Hospital, Hazel Crest, IL 60429
Phone: 708-799-8000    

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