Amy Hazzard Moore, MD | |
13801 St Francis Blvd Ste 100, Midlothian, VA 23114-3206 | |
(804) 288-4084 | |
Not Available |
Full Name | Amy Hazzard Moore |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 13801 St Francis Blvd Ste 100, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093370819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207V00000X | Obstetrics & Gynecology | 0101278309 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
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Amy Hazzard Moore, MD 7130 Glen Forest Dr Ste 101, Richmond, VA 23226-3754 Ph: (804) 662-6138 | Amy Hazzard Moore, MD 13801 St Francis Blvd Ste 100, Midlothian, VA 23114-3206 Ph: (804) 288-4084 |
Dr. Tracy Hicks, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 13700 St Francis Blvd, Suite 305, Midlothian, VA 23114 Phone: 804-320-2483 Fax: 804-419-1860 | |
Niurka Lydia Monteserin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13801 St Francis Blvd Ste 100, Midlothian, VA 23114 Phone: 804-288-4084 | |
Laura Grace Deal, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13710 St Francis Blvd Ste 305, Midlothian, VA 23114 Phone: 804-320-2483 | |
Kathryn Dianne Lucas, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 13801 St Francis Blvd, Midlothian, VA 23114 Phone: 804-897-2100 | |
Sara I Sarraf, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 100, Midlothian, VA 23114 Phone: 804-288-4084 Fax: 804-545-9548 | |
Stephen Howard Bendheim, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 13801 St Francis Blvd Ste 150, Midlothian, VA 23114 Phone: 804-897-2100 Fax: 804-897-9074 |