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BEVERLY DAWN MOOSE MD
NPI 1487747648
Radiology - Radiation Oncology in Winston Salem, NC

Active since October 02, 2006PECOS Enrolled
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103(336) 718-5095(336) 718-9895 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Dawn Moose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY DAWN MOOSE MD (NPI 1487747648) is an individual radiation oncology provider in Winston Salem, North Carolina, licensed in North Carolina (96-00124) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487747648
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameBEVERLY DAWN MOOSECredential: MD
Location Address3333 SILAS CREEK PKWYWinston Salem, NC 27103-3013
Mailing AddressPo Box 30337Winston Salem, NC 27130-0337 · (336) 718-8592 · Fax (336) 718-9269
Phone(336) 718-5095
Fax(336) 718-9895
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 11, 2012
✔ NPI 1487747648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NC · 96-00124
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3333 SILAS CREEK PKWY, Winston Salem, NC 27103
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Other Identifiers 10

Other2408394United Health Care
Other60531NC · Blue Cross/blue Shield
Other13799Partners National Health
Other6760232005Cigna Health Care
Medicaid8960531NC
Medicare ID-Type Unspecified920005728Railroad
Other97953Medcost
Medicare UPINF81327
Medicaid5860531VA
Medicare ID-Type Unspecified2222211A

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly Dawn Moose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE WILLIAMS DO
Hospitalist
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-8383
BONNIE LYNN GAUDIN PA
Physician Assistant (Medical)
3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103
Forsyth County (336) 275-3325
RALPH DENTON UPDYKE JR. PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7041
DR. DENNIS WARREN ROSS MD
Pathology (Hematology)
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103
Forsyth County (336) 718-3737
MR. KYLE TIMOTHY ROBERTS PA
Physician Assistant
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7080
JUAN CARLOS VARELA M.D., PHD
Internal Medicine (Hematology)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5570
DR. MARIE HUFFMASTER THOMAS FNP-C
Nurse Practitioner (Family)
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-5000
DEBORAH KRIST POTTICARY
Nurse Practitioner
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Moose's NPI number?

The NPI number for Beverly Moose is 1487747648. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Beverly Moose located?

Beverly Moose practices at 3333 Silas Creek Pkwy, Winston Salem, NC 27103. The listed phone number is (336) 718-5095.

What is Beverly Moose's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Beverly Moose enrolled in Medicare?

Yes. Beverly Moose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Beverly Moose was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.