Dr Paul Harold Moore Jr, MD - Medicare Radiology in Pascagoula, MS

Dr Paul Harold Moore Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Pascagoula, Mississippi. His current practice location is 2809 Denny Ave, Pascagoula, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 762-1353.

Dr Paul Harold Moore Jr is licensed to practice in Mississippi (license number 07690) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629098587.

Contact Information

Dr Paul Harold Moore Jr, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301
(228) 762-1353
(228) 762-1359



Physician's Profile

Full NameDr Paul Harold Moore Jr
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2809 Denny Ave, Pascagoula, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629098587
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 04/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5193806206
  • Enrollment ID: I20100617000282

Medical Identifiers

Medical identifiers for Dr Paul Harold Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629098587NPI-NPPES
009300150MedicaidAL
RD55061OtherUNITEDHEALTH CARE
00116335MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 07690 (Mississippi)Primary

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 Paul Harold Moore Jr allows following entities to bill medicare on his behalf.
Entity NameSinging River Radiology Group, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396762209
PECOS PAC ID: 6204847064
Enrollment ID: O20060509000366

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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 Paul Harold Moore Jr 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 Paul Harold Moore Jr, MD
1365 Market St,
Pascagoula, MS 39567-6604

Ph: (228) 762-1353
Dr Paul Harold Moore Jr, MD
2809 Denny Ave,
Pascagoula, MS 39581-5301

Ph: (228) 762-1353

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Radiology Doctors in Pascagoula, MS

Dr. Roland Joseph Mestayer Iii, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-1353    Fax: 228-762-1359
Dr. W. Sam Dennis, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5000    
John H Bechtel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-809-5251    Fax: 228-809-5255
Thurman N. Polchow, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-1353    Fax: 228-762-1359
Jim Patrick Gray, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-1353    Fax: 228-762-1359
John A Banahan Jr., MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Denny Ave, Pascagoula, MS 39581
Phone: 228-762-1353    Fax: 228-762-1359

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