Dr Charles S Moore, MD | |
20 The Legends Pkwy, Eureka, MO 63025-3801 | |
(636) 549-0101 | |
(636) 549-0101 |
Full Name | Dr Charles S Moore |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 20 The Legends Pkwy, Eureka, Missouri |
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 |
---|---|---|---|
1902877012 | NPI | - | NPPES |
200045550A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2013017434 (Missouri) | Primary |
207Q00000X | Family Medicine | 23555 (Oklahoma) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital South | Saint louis, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Hyperbaric And Wound Care Llc | 0345468526 | 11 |
Mercy East Ambulatory Services Llc | 2365739240 | 94 |
Entity Name | Mercy Clinic Hyperbaric And Wound Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336568864 PECOS PAC ID: 0345468526 Enrollment ID: O20140829001708 |
Entity Name | Mercy East Ambulatory Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134673148 PECOS PAC ID: 2365739240 Enrollment ID: O20160920002054 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles S Moore, MD 20 The Legends Pkwy, Eureka, MO 63025-3801 Ph: (636) 549-0101 | Dr Charles S Moore, MD 20 The Legends Pkwy, Eureka, MO 63025-3801 Ph: (636) 549-0101 |
Dr. Russell Todd Imboden, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14 Stockell Dr, Eureka, MO 63025 Phone: 636-938-7600 Fax: 636-938-7602 | |
Dr. Rebecca Ann Michels, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Hilltop Village Shopping Center Dr, Eureka, MO 63025 Phone: 636-587-6350 Fax: 636-529-0699 | |
Dr. Leslie Arroyo Robins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Legends Parkway, Suite 110, Eureka, MO 63025 Phone: 636-549-0100 Fax: 636-549-0101 | |
Heather D Gjorgjievski, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 Phone: 365-876-3506 Fax: 314-529-0699 | |
Dr. Anjani Janak Urban, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 The Legends Pkwy, Eureka, MO 63025 Phone: 636-938-3399 Fax: 636-938-9609 | |
Dr. David Lawrence Pittenger, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 97 Hill Top Village Center, Suite E & F, Eureka, MO 63025 Phone: 636-938-6060 Fax: 636-587-9712 |