MR. MATTHEW MORGAN MOAKE
NPI 1073958120
Pediatrics - Pediatric Emergency Medicine in Charleston, SC
- Individual
- Male
- Pediatrics
- Pediatric Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About MATTHEW MOAKE
This page provides the complete NPI Profile along with additional information for Matthew Moake, a pediatrician established in Charleston, South Carolina with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1073958120 assigned on May 2013. The practitioner's primary taxonomy code is 2080P0204X with license number 39233 (SC). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1073958120 Verify this NPI
- Provider Name
- MR. MATTHEW MORGAN MOAKE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 171 ASHLEY AVE CHARLESTON, SC 29425
- Location Phone
- (843) 792-0269
- Mailing Address
- PO BOX 751461 CHARLOTTE, NC 28275
- Mailing Phone
- (843) 792-6200
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-02-2013
- Last Update Date
- 12-14-2020
- Code Navigator
A pediatrician like Matthew Moake is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 135 Rutledge Ave, MSC 561 Medical University of South Carolina
Charleston, SC 29425
(843) 792-0269
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 39233
- License State
- SC
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 39233 (SC) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Beaufort Bronze 1 - HMO
- Blue Beaufort Bronze 2 - HMO
- Blue Beaufort Gold 1 - HMO
- Blue Beaufort Silver 1 - HMO
- Blue Beaufort Silver 2 - HMO
- Blue Beaufort Silver 2 + Adult Vision - HMO
- Blue Beaufort Standard Expanded Bronze - HMO
- Blue Beaufort Standard Gold - HMO
- Blue Beaufort Standard Silver - HMO
- Blue Congaree Bronze 1 - HMO
- Blue Congaree Bronze 2 - HMO
- Blue Congaree Gold 1 - HMO
- Blue Congaree Silver 1 - HMO
- Blue Congaree Silver 2 - HMO
- Blue Congaree Silver 2 + Adult Vision - HMO
- Blue Congaree Standard Expanded Bronze - HMO
- Blue Congaree Standard Gold - HMO
- Blue Congaree Standard Silver - HMO
- Blue Cooper Bronze 1 - HMO
- Blue Cooper Bronze 2 - HMO
- First Choice Next Bronze Essential - HMO
- First Choice Next Bronze Premier - HMO
- First Choice Next Bronze Signature - HMO
- First Choice Next Gold Premier - HMO
- First Choice Next Gold Signature - HMO
- First Choice Next Silver Essential - HMO
- First Choice Next Silver Premier - HMO
- First Choice Next Silver Signature - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39233 | OTHER (01) | SC | SC LLR |
Medicare Participation & PECOS Enrollment Status
Matthew Moake is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MR. MATTHEW MORGAN MOAKE
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHARLESTON, SC 29425
CHARLESTON, SC 29425
CHARLESTON, SC 29425
CHARLESTON, SC 29425
CHARLESTON, SC 29425
CHARLESTON, SC 29425
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073958120, enumerated as an "individual" on May 02, 2013.
The provider is located at 171 ASHLEY AVE CHARLESTON, SC 29425 and the phone number is (843) 792-0269.
Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to verify.
