Devin B Moore, PA-C - Medicare Physician Assistant in Springfield, MO

Devin B Moore, PA-C is a medicare enrolled "Physician Assistant" in Springfield, Missouri. Her current practice location is 1235 E Cherokee St, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 820-5400.

Devin B Moore is licensed to practice in Missouri (license number 2011030406) 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 1023388006.

Contact Information

Devin B Moore, PA-C
1235 E Cherokee St,
Springfield, MO 65804-2203
(417) 820-5400
(417) 820-7129



Provider's Profile

Full NameDevin B Moore
GenderFemale
SpecialityPhysician Assistant
Location1235 E Cherokee St, Springfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023388006
  • Provider Enumeration Date: 01/06/2012
  • Last Update Date: 01/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739349796
  • Enrollment ID: I20191212000065

Medical Identifiers

Medical identifiers for Devin B Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023388006NPI-NPPES
431560263OtherMOTRICARE
P01036355OtherMORR MCR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2011030406 (Missouri)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. Devin B 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
Devin B Moore, PA-C
30 Lacrue Ave, Ste 101,
Glen Mills, PA 19342-1042

Ph: (610) 558-4800
Devin B Moore, PA-C
1235 E Cherokee St,
Springfield, MO 65804-2203

Ph: (417) 820-5400

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Physician Assistant Nurses in Springfield, MO

Meredith Teresa Mcamis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    
Mr. Jason Shaver, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807
Phone: 417-875-3114    Fax: 417-875-3922
Erin H York, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3808 S Greystone Ct, Springfield, MO 65804
Phone: 417-889-3332    Fax: 417-881-1141
Mrs. Autumn L. Bertholdi, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3850 S National Ave Ste 705, Springfield, MO 65807
Phone: 417-888-0858    Fax: 417-889-0476
Jeffrey Christian Ellis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2150 W Republic Rd Ste 112, Springfield, MO 65807
Phone: 417-986-1291    
Miguel Angel Medina, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1900 South Sunshine Ave., Springfield, MO 65807
Phone: 417-862-7041    

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