Timothy Richard Moore, MD - Medicare Internal Medicine in Boise, ID

Timothy Richard Moore, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Boise, Idaho. His current practice location is 500 W. Fort St., #111, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1000.

Timothy Richard Moore is licensed to practice in Idaho (license number M-12911) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124064423.

Contact Information

Timothy Richard Moore, MD
500 W. Fort St., #111,
Boise, ID 83702
(208) 422-1000
(208) 422-1319



Physician's Profile

Full NameTimothy Richard Moore
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location500 W. Fort St., Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124064423
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133152762
  • Enrollment ID: I20220215002246

Medical Identifiers

Medical identifiers for Timothy Richard Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124064423NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology M-12911 (Idaho)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M-12911 (Idaho)Primary
207RC0000XInternal Medicine - Cardiovascular Disease M0189 (Texas)Secondary

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. Timothy Richard 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
Timothy Richard Moore, MD
500 W Fort St # 111,
Boise, ID 83702-4501

Ph: (208) 422-1000
Timothy Richard Moore, MD
500 W. Fort St., #111,
Boise, ID 83702

Ph: (208) 422-1000

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Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 757-446-8920    Fax: 757-446-5242
Dr. James Robert Polk, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3104    
Dr. Michael Frederic Krug, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St, # 111, Boise, ID 83702
Phone: 208-422-1000    Fax: 208-422-1319
Derrel V Walker, M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Road, Boise, ID 83706
Phone: 208-367-7350    Fax: 208-367-3951
Dr. Janat E. O'donnell, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 500 W. Fort St., # 111, Boise, ID 83702
Phone: 208-422-1325    Fax: 208-422-1319
Carl L Durning, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 6094 W Emerald St, Boise, ID 83704
Phone: 208-367-6575    Fax: 208-367-6597
Dr. Christopher J Goulet, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286

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