John Moore, - Medicare Urology in Hattiesburg, MS

John Moore, is a medicare enrolled "Urology" physician in Hattiesburg, Mississippi. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Urology. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5888.

John Moore is licensed to practice in Mississippi (license number 26534) 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 1063824688.

Contact Information

John Moore,
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 268-5888
(601) 261-3587



Physician's Profile

Full NameJohn Moore
GenderMale
SpecialityUrology
Experience10 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
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:
  • John Moore graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1063824688
  • Provider Enumeration Date: 06/02/2014
  • Last Update Date: 07/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072739630
  • Enrollment ID: I20190817000049

Medical Identifiers

Medical identifiers for John Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063824688NPI-NPPES
04421823MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology ME124782 (Florida)Secondary
208800000XUrology 19690 (Florida)Secondary
208800000XUrology 26534 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital
Marion General HospitalColumbia, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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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. John Moore allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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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. John 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
John Moore,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5888
John Moore,
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 268-5888

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Urology Doctors in Hattiesburg, MS

Dr. Hal T Liddell, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 139 Fairfield Dr, Hattiesburg, MS 39402
Phone: 601-450-2401    Fax: 601-450-2433
Sean Philip Douglas, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5888    Fax: 601-579-5240
Dr. Nathan P Shappley, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Aldersgate Cir, Hattiesburg, MS 39402
Phone: 601-261-5800    Fax: 601-261-5813
Bradley N Secrest, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5888    Fax: 601-261-3587
Woodie J Wilson Jr., MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-268-5888    Fax: 601-261-3587
David C Stout, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 4 Pebble Crk, Hattiesburg, MS 39402
Phone: 601-261-9323    

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