Dr Renata Charissa Moore, MD - Medicare Radiation Oncology in Decatur, IL

Dr Renata Charissa Moore, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Decatur, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Radiation Oncology. She is a member of the group practice Cancer Care Specialists Of Central Illinois, S.c. and her current practice location is 1990 E Lake Shore Dr, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 464-2900.

Dr Renata Charissa Moore is licensed to practice in Illinois (license number 036093129) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851483572.

Contact Information

Dr Renata Charissa Moore, MD
1990 E Lake Shore Dr,
Decatur, IL 62521-3811
(217) 464-2900
(217) 464-2909



Physician's Profile

Full NameDr Renata Charissa Moore
GenderFemale
SpecialityRadiation Oncology
Experience25 Years
Location1990 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Renata Charissa Moore attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1851483572
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 02/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4587578711
  • Enrollment ID: I20110621000504

Medical Identifiers

Medical identifiers for Dr Renata Charissa Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851483572NPI-NPPES
036093129MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 036093129 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cancer Care Specialists Of Central Illinois, S.c.599161911626

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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 Renata Charissa Moore allows following entities to bill medicare on her behalf.
Entity NameCancer Care Specialists Of Central Illinois, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871580142
PECOS PAC ID: 5991619116
Enrollment ID: O20031113000022

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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 Renata Charissa 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 Renata Charissa Moore, MD
210 W Mckinley Ave, Suite 1,
Decatur, IL 62526-5858

Ph: (217) 876-6600
Dr Renata Charissa Moore, MD
1990 E Lake Shore Dr,
Decatur, IL 62521-3811

Ph: (217) 464-2900

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Radiology Doctors in Decatur, IL

Dr. Jeffrey Marc Boorstein, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-2300    Fax: 217-876-6725
Soman Nair, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521
Phone: 217-464-2984    Fax: 217-464-1631
Harold A Yoon, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 W Mckinley Ave Ste 1, Decatur, IL 62526
Phone: 217-877-9442    Fax: 217-233-1670
Mrs. Mary Anne Depaz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 W. Mckinley Ave, Ste 2, Decatur, IL 62526
Phone: 217-876-6600    Fax: 217-876-6606
Mr. Edward C Elliott Ii, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 W. Mckinley Ave, Ste 1, Decatur, IL 62526
Phone: 217-876-6600    Fax: 217-876-6606
Dr. Mark A Muscato, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 2300 N Edward St, Decatur, IL 62526
Phone: 217-876-2300    Fax: 217-876-6725

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