Michael M Moore, DPT - Medicare Physical Therapist in Tahlequah, OK

Michael M Moore, DPT is a medicare enrolled "Physical Therapist" provider in Tahlequah, Oklahoma. His current practice location is 2021 Mahaney Ave, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 458-5115.

Michael M Moore is licensed to practice in Oklahoma (license number 6041) 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 1023683760.

Contact Information

Michael M Moore, DPT
2021 Mahaney Ave,
Tahlequah, OK 74464-5794
(918) 458-5115
Not Available



Healthcare Provider's Profile

Full NameMichael M Moore
GenderMale
SpecialityPhysical Therapist
Location2021 Mahaney Ave, Tahlequah, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023683760
  • Provider Enumeration Date: 05/25/2021
  • Last Update Date: 09/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971905365
  • Enrollment ID: I20210707003312

Medical Identifiers

Medical identifiers for Michael M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023683760NPI-NPPES
200994650AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6041 (Oklahoma)Primary

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. Michael M Moore allows following entities to bill medicare on his behalf.
Provider NameExcel Therapy Specialists, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1033277413
PECOS PAC ID: 1759294689
Enrollment ID: O20031107000094

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› Verified 5 days ago

Provider NameExcel Therapy Specialists--okc Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1649643180
PECOS PAC ID: 6305142886
Enrollment ID: O20160309001385

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› Verified 5 days ago

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. Michael M 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
Michael M Moore, DPT
1519 Northpark Dr,
Tahlequah, OK 74464-6240

Ph: (405) 802-2086
Michael M Moore, DPT
2021 Mahaney Ave,
Tahlequah, OK 74464-5794

Ph: (918) 458-5115

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Read more News

› Verified 5 days ago


Physical Therapist in Tahlequah, OK

Philip Lee Hill, PT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 409 Daisy Dr, Ste F2, Tahlequah, OK 74464
Phone: 918-458-9235    Fax: 918-458-9236
Dr. Adam K Richards, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464
Phone: 918-458-3491    
Dr. Eric Everett Rouse, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2021 Mahaney Ave Ste 6, Tahlequah, OK 74464
Phone: 918-458-5115    Fax: 918-458-5119
Mr. Carl Brent Scott, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2021 Mahaney Ave., Ste. 6, Northeastern Physical Rehab, Tahlequah, OK 74464
Phone: 918-458-5115    Fax: 918-458-5119
Mrs. Sharon Lea Cox, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 E Downing St, Tahlequah, OK 74464
Phone: 918-458-2410    Fax: 918-458-2411
Clint Raymer, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 19600 E Ross St, Tahlequah, OK 74464
Phone: 539-234-1920    

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