Dr Vicki P Moore, DO - Medicare Pediatrics in Dallas, TX

Dr Vicki P Moore, DO is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Dallas, Texas. Her current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 456-7000.

Dr Vicki P Moore is licensed to practice in Texas (license number N8427) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023280039.

Contact Information

Dr Vicki P Moore, DO
5323 Harry Hines Blvd,
Dallas, TX 75390-7057
(214) 456-7000
(214) 456-8132



Physician's Profile

Full NameDr Vicki P Moore
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023280039
  • Provider Enumeration Date: 03/31/2008
  • Last Update Date: 12/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002085545
  • Enrollment ID: I20110817000821

Medical Identifiers

Medical identifiers for Dr Vicki P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023280039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N8427 (Texas)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine N8427 (Texas)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 Vicki P Moore allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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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 Vicki P 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 Vicki P Moore, DO
Po Box 845347,
Dallas, TX 75284-7057

Ph: (214) 456-7000
Dr Vicki P Moore, DO
5323 Harry Hines Blvd,
Dallas, TX 75390-7057

Ph: (214) 456-7000

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Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

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