Paul Derek Moore, MD in Lebanon, PA - General Practice

Paul Derek Moore, MD is a General Practice physician based in Lebanon, Pennsylvania. Paul Derek Moore is licensed to practice in Pennsylvania (license number MD444618) and his current practice location is 815 Cumberland St, Suite 205, Lebanon, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (717) 277-7400.

NPI number for Paul Derek Moore is 1417945700 and his current mailing address is 100 N Cameron St, Suite 401e, Harrisburg, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417945700.

Contact Information

	Paul Derek Moore, MD
	815 Cumberland St, Suite 205, Lebanon, PA 17042-5266
	(717) 277-7400
	(717) 277-7402

Physician's Profile

Full Name	Paul Derek Moore
Gender	Male
Speciality	General Practice
Location	815 Cumberland St, Lebanon, Pennsylvania
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1417945700
Provider Enumeration Date: 10/11/2005
Last Update Date: 09/23/2016

Medical Identifiers

Medical identifiers for Paul Derek Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417945700	NPI	-	NPPES
09932861	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40759 (Colorado)	Secondary
208D00000X	General Practice	MD444618 (Pennsylvania)	Primary

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. Paul Derek Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Paul Derek Moore, MD 100 N Cameron St, Suite 401e, Harrisburg, PA 17101-2424 Ph: (717) 232-8535	Paul Derek Moore, MD 815 Cumberland St, Suite 205, Lebanon, PA 17042-5266 Ph: (717) 277-7400

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Paul Derek Moore, MD - General Practice in Lebanon, PA