Dr Donald Wilson Moore, MD | |
401 W Decatur St, Madison, NC 27025-1913 | |
(336) 548-9618 | |
(336) 548-4877 |
Full Name | Dr Donald Wilson Moore |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 401 W Decatur St, Madison, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831170919 | NPI | - | NPPES |
1831170919 | Other | NC | BLUE MEDICARE |
1831170919 | Other | NC | HUMANA |
1831170919 | Other | NC | AETNA |
1831170919 | Other | NC | NC BLUE CROSS |
202297D | Other | NC | MEDICARE |
8960207 | Medicaid | NC | |
1831170919 | Other | NC | UNITED HEALTHCARE |
1831170919 | Other | NC | COVENTRY |
1831170919 | Other | NC | COMMERCIAL |
1831170919 | Other | NC | AARP MEDICARE COMPLETE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 24121 (North Carolina) | Primary |
Entity Name | Moses Cone Medical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20060609000162 |
Mailing Address | Practice Location Address |
---|---|
Dr Donald Wilson Moore, MD 1200 N Elm St, Greensboro, NC 27401-1004 Ph: (336) 832-7000 | Dr Donald Wilson Moore, MD 401 W Decatur St, Madison, NC 27025-1913 Ph: (336) 548-9618 |
Joshua A Dettinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Decatur St, Madison, NC 27025 Phone: 336-548-9618 | |
Dr. Leonard Robert Nyland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 723 Ayersville Rd, Madison, NC 27025 Phone: 336-427-0281 |