Derrick Allen Moore, MD | |
1155 Mill St Ms W14, Reno, NV 89502-1576 | |
(775) 982-7878 | |
(775) 982-4196 |
Full Name | Derrick Allen Moore |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 26 Years |
Location | 1155 Mill St Ms W14, Reno, Nevada |
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 |
---|---|---|---|
1598738098 | NPI | - | NPPES |
1598738098 | Medicaid | NV | |
11041252 | Other | CAQH | |
110242647 | Other | NV | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10291 (Nevada) | Secondary |
208M00000X | Hospitalist | 10291 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Renown Regional Medical Center | Reno, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Care Services Llc | 1951324318 | 391 |
Entity Name | Community Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720031768 PECOS PAC ID: 1951324318 Enrollment ID: O20060111000900 |
Mailing Address | Practice Location Address |
---|---|
Derrick Allen Moore, MD 1155 Mill St Ms M14, Reno, NV 89502-1576 Ph: (775) 982-5262 | Derrick Allen Moore, MD 1155 Mill St Ms W14, Reno, NV 89502-1576 Ph: (775) 982-7878 |
Nima Hajazimzanjani, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 | |
Dr. Reka Danko, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 235 W 6th St, Reno, NV 89503 Phone: 775-770-6490 Fax: 775-770-3944 | |
Yanning Wang, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 | |
Syed Abbas Hasan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St # 11, Reno, NV 89502 Phone: 775-327-5174 | |
Dr. Subani Gautam, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 | |
Dr. Jeffrey C. Andal, MD, MPH Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 235 W 6th St, Reno, NV 89503 Phone: 775-770-6490 Fax: 775-770-3944 | |
Ashley Susan Gail Naughton, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 |