GLEN O MOORE PA-C
NPI 1922404623
Physician Assistant - Medical in Lakewood, CO
About Glen O Moore Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLEN O MOORE PA-C (NPI 1922404623) is an individual medical provider in Lakewood, Colorado, licensed in Colorado (PA0004150) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Glen O 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.
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.
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 Glen Moore's NPI number?
The NPI number for Glen Moore is 1922404623. It was assigned to this individual provider in the NPPES registry on November 7, 2014.
Where is Glen Moore located?
Glen Moore practices at 8383 W Alameda Ave, Lakewood, CO 80226. The listed phone number is (303) 338-4545.
What is Glen Moore's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Glen Moore enrolled in Medicare?
Yes. Glen 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.
When was this NPI record last updated?
The NPPES record for Glen Moore was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Glen O Moore, PA-C · NPI 1922404623
Medical physician in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since November 7, 2014.
## Identity
- **NPI:** 1922404623 (Entity type: Individual)
- **Enumerated:** November 7, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA0004150 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 8383 W ALAMEDA AVE, Lakewood, CO 80226-3007
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922404623) · Data from the CMS NPPES public registry.