Adam Moeck, | |
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
(123) 456-7891 | |
Not Available |
Full Name | Adam Moeck |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 650 Joel Dr, Fort Campbell, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134515059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101260925 (Virginia) | Primary |
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
Mailing Address | Practice Location Address |
---|---|
Adam Moeck, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Adam Moeck, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (123) 456-7891 |
Ryan Grippo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8333 | |
Dr. Scott A Raber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Stephen Michael Melnyk, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Trevor James Reitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 561-704-6588 | |
Dr. Nicholas Bailey Hammond, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8727 |