BRENNAN MOORE
NPI 1336973346
Physician Assistant - Surgical in Orlando, FL

NPI Status: Active since August 30, 2024

Contact Information

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806
Phone: (321) 843-5851

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  • Individual
  • Years of Experience 2
  • Physician Assistant
  • Surgical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRENNAN MOORE

This page provides the complete NPI Profile along with additional information for Brennan Moore, a provider established in Orlando, Florida operating as a Physician Assistant, focusing in surgical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1336973346 assigned on August 2024. The practitioner's primary taxonomy code is 363AS0400X with license number PENDING (FL). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI
1336973346
Provider Name
BRENNAN MOORE
Gender
Entity Type
Individual
Location Address
60 COLUMBIA ST ORLANDO, FL 32806
Location Phone
(321) 843-5851
Mailing Address
60 COLUMBIA ST ORLANDO, FL 32806
Medical School Name
OTHER
Graduation Year
2024
Is Sole Proprietor?
Yes
Enumeration Date
08-30-2024
Last Update Date
09-16-2024
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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

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PENDING
License State
FL

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Brennan Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brennan Moore 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

  • PECOS PAC ID: 1850823873

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241016000436

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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 BRENNAN MOORE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336973346
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366187638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 8 + 7 + 6 + 3 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1336973346 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ORLANDO NEPHROLOGY & HYPERTENSION, PA

Internal Medicine

(Nephrology)

60 COLUMBIA ST
SUITE B
ORLANDO, FL
ZIP 32806

(407) 422-3456

ORLANDO HEALTH INC.

Pharmacy

(Community/Retail Pharmacy)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-8535

RODRIGO ENCINAS MD

Student in an Organized Health Care Education/Training Program

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 841-1764

COREY RAPHAEL ROMAN DPT

Physical Therapist

(Orthopedic)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(561) 596-2993

DR. ELVIN DAVID TOLENTINO III APRN

Nurse Practitioner

(Acute Care)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

MATTHEW GORDON BURKHALTER

Physical Therapist

(Orthopedic)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 841-5744

DANIEL PAUL D'ANDREA PT

Physical Therapist

(Orthopedic)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(407) 643-1360

SARAH WEST

Nurse Practitioner

(Adult Health)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

MS. THERESA CECILIA ZIMMER ARNP

Nurse Practitioner

(Adult Health)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 527-7200

RICHARD CHRISTOPHER LYNCH PA-C

Physician Assistant

(Surgical)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

BRYAN KEITH STEWART PA-C

Physician Assistant

(Surgical)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

BAILEY ANN BURBA PA

Physician Assistant

(Surgical)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

DR. HAMILTON PAGE VICK MD

Orthopaedic Surgery

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

DR. MARISSA GOLDHOFF DPT

Physical Therapist

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-7000

JOHN DANIEL BOCINSKY MD

Family Medicine

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(407) 649-6876

COURTNEY BUTLER ATC

Specialist/Technologist

(Athletic Trainer)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(407) 775-0250

BARRETT JAMES HAWKINS MD

Orthopaedic Surgery

(Orthopaedic Trauma)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

KAITLIN GRAY LITTLE FNP

Nurse Practitioner

(Family)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-5851

MICHAEL ACOSTA PT

Physical Therapist

(Orthopedic)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(407) 515-2420

RONALDO ANTONIO GREEN PA-C, ATC

Physician Assistant

(Surgical)

60 COLUMBIA ST
ORLANDO, FL
ZIP 32806

(321) 843-2584

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336973346, enumerated as an "individual" on August 30, 2024.

The provider is located at 60 COLUMBIA ST ORLANDO, FL 32806 and the phone number is (321) 843-5851.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.