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MARY L MOORE PA C
NPI 1770514614
Physician Assistant - Medical in Pearsall, TX

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
105 E HACKBERRY ST, PEARSALL, TX 78061(830) 334-3670(830) 334-3672 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary L Moore Pa C NPPES

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

MARY L MOORE PA C (NPI 1770514614) is an individual medical provider in Pearsall, Texas, licensed in Texas (PA02513) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Frio Regional Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1770514614
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY L MOORECredential: PA C
Location Address105 E HACKBERRY STPearsall, TX 78061-4412
Mailing Address151 Encino DrivePearsall, TX 78061 · (830) 334-3670 · Fax (830) 334-3672
Phone(830) 334-3670
Fax(830) 334-3672
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1770514614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA02513
105 E HACKBERRY ST, Pearsall, TX 78061
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedC15997
Medicare UPINP01817

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary L Moore Pa C is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385959139
PECOS Enrollment IDI20150824000062
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Other Providers at the Same Location NPPES

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

COMMUNITY GENERAL HOSPITAL OF DILLEY TEXAS INC
General Practice
105 E HACKBERRY ST
PEARSALL, TX 78061
Frio County (830) 334-4016

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 Mary Moore's NPI number?

The NPI number for Mary Moore is 1770514614. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Mary Moore located?

Mary Moore practices at 105 E Hackberry St, Pearsall, TX 78061. The listed phone number is (830) 334-3670.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Moore enrolled in Medicare?

Yes. Mary Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Moore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Mary Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Moore affiliated with any hospitals?

According to CMS data, Mary Moore is affiliated with Frio Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.