Mack Moore Shoes
Durable Medical Equipment & Medical Supplies
305 W Lincoln Ave, Charleston
Illinois, 61920-3020
217-345-3479 217-345-7463
Mack Moore Shoes is a Durable Medical Equipment & Medical Supplies in Charleston, Illinois. It is located at 305 W Lincoln Ave, Charleston and it's customer support contact number is 217-345-3479. The authorized person of Mack Moore Shoes is Mr. William M Moore Ii, CPED who is General Manager of this DME and his contact number is 217-345-3479. Mack Moore Shoes accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mack Moore Shoes is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Mack Moore Shoes type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mack Moore Shoes |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 305 W Lincoln Ave, Charleston,
Illinois, 61920-3020 |
| Phone: | 217-345-3479 |
| Fax: | 217-345-7463 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. William M Moore Ii |
| Credentials: | CPED |
| Position: | General Manager |
| Contact Number: | 217-345-3479 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1235341173 |
| NPI Enumeration Date: | 04 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mack Moore Shoes are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Mack Moore Shoes is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395959753 | O20100930069502 | Mack Moore Shoes | DME SUPPLIER - PEDORTHIC PERSONNEL |
Products Available:
Mack Moore Shoes has following products available for sale under medicare.
| Products: |
|---|
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Limb Prostheses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 305 W Lincoln Ave,
Charleston, Illinois |
| Zip: | 61920-3020 |
| Phone Number: | 217-345-3479 |
| Fax Number: | 217-345-7463 |
Patients can reach Mack Moore Shoes at
305 W Lincoln Ave, Charleston, Illinois or can
call on customer care at 217-345-3479.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.