Dr Brandon K Moore, DO | |
301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 | |
(423) 794-5520 | |
(423) 282-6940 |
Full Name | Dr Brandon K Moore |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 301 Med Tech Pkwy Ste 240, Johnson City, Tennessee |
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 |
---|---|---|---|
1396908430 | NPI | - | NPPES |
1526217 | Medicaid | TN | |
7100188700 | Medicaid | KY | |
1396908430 | Medicaid | NC | |
P01050137 | Other | TN | RR MEDICARE |
1396908430 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0102202866 (Virginia) | Secondary |
207R00000X | Internal Medicine | 2317 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellmont Hospice | Bristol, TN | Hospice |
Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Physician Services Pc | 0042307852 | 499 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Southeastern Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Entity Name | Integrated Health Transitions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922463470 PECOS PAC ID: 7315242302 Enrollment ID: O20160301000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon K Moore, DO 215 E Springbrook Dr, Johnson City, TN 37601-1761 Ph: (423) 794-5520 | Dr Brandon K Moore, DO 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 Ph: (423) 794-5520 |
Dr. Alan Cox, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Avondale Dr, Johnson City, TN 37604 Phone: 423-767-8268 | |
Dr. Sheeba Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin, Johnson City, TN 37614 Phone: 423-439-6283 | |
Dr. Charles Famoyin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Wesley St, Suite 3, Johnson City, TN 37601 Phone: 423-282-0561 Fax: 423-268-2674 | |
Robert Taylor Means Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 N State Of Franklin Rd, 2nd Floor, Johnson City, TN 37604 Phone: 423-439-7280 Fax: 423-439-7314 | |
Dr. Tariq Ziad Haddadin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N State Of Franklin Rd Ste 2, Johnson City, TN 37604 Phone: 423-926-4468 Fax: 423-928-4838 | |
Timothy O Mcbride, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Johnson City, TN 37601 Phone: 423-929-2584 Fax: 423-722-2060 | |
John M Daniel, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N. State Of Franklin Rd., Johnson City, TN 37614 Phone: 423-282-1480 Fax: 423-928-1353 |