Dr Brian Andrew Moore, MD | |
307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 | |
(850) 883-8264 | |
(850) 883-8253 |
Full Name | Dr Brian Andrew Moore |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 26 Years |
Location | 307 Boatner Rd, Eglin Afb, Florida |
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 |
---|---|---|---|
1548248552 | NPI | - | NPPES |
1465917 | Medicaid | LA | |
04630817 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | L7051 (Texas) | Secondary |
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MD.200570 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Andrew Moore, MD 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 Ph: (850) 883-8264 | Dr Brian Andrew Moore, MD 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1391 Ph: (850) 883-8264 |
Dr. Gale Timothy Tuper Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 307 Boatner Rd Ste 114, 96th Medical Group, Eglin Afb, FL 32542 Phone: 850-883-8264 | |
Dr. Mark A Criswell, M.D., F.A.C.S. Otolaryngology Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8264 | |
Nathanael W Nickel, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 |