Courtenay K Moore, MD | |
915 Olentangy River Rd, Columbus, OH 43212-3153 | |
(614) 293-8155 | |
(614) 293-3565 |
Full Name | Courtenay K Moore |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 25 Years |
Location | 915 Olentangy River Rd, Columbus, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568552644 | NPI | - | NPPES |
2583575 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 35085038 (Ohio) | Secondary |
208800000X | Urology | 35085038 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohio State University State Health System | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osu Urology, Llc | 3476565946 | 34 |
Entity Name | Osu Urology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612568 PECOS PAC ID: 3476565946 Enrollment ID: O20060627000142 |
Mailing Address | Practice Location Address |
---|---|
Courtenay K Moore, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8155 | Courtenay K Moore, MD 915 Olentangy River Rd, Columbus, OH 43212-3153 Ph: (614) 293-8155 |
Cheryl Taylore Lee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 300 W 10th Ave, 1st Floor, Columbus, OH 43210 Phone: 614-293-8155 Fax: 614-293-3565 | |
Kevin Lung-wong Banks, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Thomas Ln, Suite 3g, Columbus, OH 43214 Phone: 614-788-2870 Fax: 614-533-0177 | |
Steven Goldenthal, Urology Medicare: Not Enrolled in Medicare Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8000 | |
Dr. Adam C. Weiser, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 701 Tech Center Drive, Suite 250, Columbus, OH 43230 Phone: 614-396-2684 Fax: 614-396-2480 | |
John Oliver Lang Delancey, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-8155 Fax: 614-293-3565 | |
Miss Taylor Alexandra Goodstein, MD Urology Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd Ste 2000, Columbus, OH 43212 Phone: 614-293-4889 | |
Dr. Michael Chi Gong, MD, PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 460 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8155 Fax: 614-293-3565 |