Kenneth P Moore, MD - Medicare Urology in Del Rio, TX

Kenneth P Moore, MD is a medicare enrolled "Urology" physician in Del Rio, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1989 and has 35 years of diverse experience with area of expertise as Urology. He is a member of the group practice Val Verde Hospital Corporation and his current practice location is 801 N Bedell Ave, Del Rio, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 703-1733.

Kenneth P Moore is licensed to practice in Texas (license number P0100) 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 1700094240.

Contact Information

Kenneth P Moore, MD
801 N Bedell Ave,
Del Rio, TX 78840-4112
(830) 703-1733
(830) 703-1733



Physician's Profile

Full NameKenneth P Moore
GenderMale
SpecialityUrology
Experience35 Years
Location801 N Bedell Ave, Del Rio, Texas
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:
  • Kenneth P Moore attended and graduated from University Of Texas Medical School At San Antonio in 1989
  NPI Data:
  • NPI Number: 1700094240
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 10/21/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5698675353
  • Enrollment ID: I20040109001069

Medical Identifiers

Medical identifiers for Kenneth P Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700094240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology P0100 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Val Verde Regional Medical CenterDel rio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Val Verde Hospital Corporation094111202331

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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. Kenneth P Moore allows following entities to bill medicare on his behalf.
Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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Entity NameVal Verde Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639239239
PECOS PAC ID: 0941112023
Enrollment ID: O20041006001392

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Entity NameAmistad Medical Professionals
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912211913
PECOS PAC ID: 7719171545
Enrollment ID: O20101104001611

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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. Kenneth 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
Kenneth P Moore, MD
Po Box 437,
San Antonio, TX 78292-0437

Ph: (210) 558-6288
Kenneth P Moore, MD
801 N Bedell Ave,
Del Rio, TX 78840-4112

Ph: (830) 703-1733

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Urology Doctors in Del Rio, TX


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