Aaron Moore, MD | |
301 N 8th St Ste 3b, Springfield, IL 62701-1041 | |
(217) 545-7123 | |
(217) 545-7305 |
Full Name | Aaron Moore |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 8 Years |
Location | 301 N 8th St Ste 3b, Springfield, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699137794 | NPI | - | NPPES |
036167755 | Medicaid | IL | |
Q074833 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 65701 (Tennessee) | Secondary |
208800000X | Urology | 036.167755 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
St Johns Hospital | Springfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cookeville Regional Medical Group Inc | 8325092638 | 48 |
Siu Physicians And Surgeons Inc | 2365352820 | 282 |
Entity Name | Cookeville Regional Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649202102 PECOS PAC ID: 8325092638 Enrollment ID: O20050309000874 |
Mailing Address | Practice Location Address |
---|---|
Aaron Moore, MD Po Box 19639, Springfield, IL 62794-9639 Ph: (217) 545-8000 | Aaron Moore, MD 301 N 8th St Ste 3b, Springfield, IL 62701-1041 Ph: (217) 545-7123 |
Herbert J Wiser, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 800 N 1st St, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-527-2620 | |
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Joe Miller, M.D. Urology Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541 | |
Roberta Lynn Koeppen, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 | |
Kevin Mcvary, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Ste Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 |