Dr George Walter Moore, MD | |
1909 214th Street Se, Suite 211, Bothell, WA 98021 | |
(425) 420-1650 | |
(425) 420-1651 |
Full Name | Dr George Walter Moore |
---|---|
Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1909 214th Street Se, Bothell, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588604110 | NPI | - | NPPES |
0147297 | Other | WA | LABOR AND INDUSTRY |
080177572 | Other | WA | RAILROAD MEDICARE |
MD00039482 | Other | WA | STATE LICENSE NUMBER |
8275059 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD00039482 (Washington) | Primary |
Entity Name | Western Washington Medical Group Inc Ps |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396413803 PECOS PAC ID: 7517870314 Enrollment ID: O20031107000469 |
Mailing Address | Practice Location Address |
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Dr George Walter Moore, MD 1909 214th Street Se, Suite 211, Bothell, WA 98021 Ph: (425) 420-1650 | Dr George Walter Moore, MD 1909 214th Street Se, Suite 211, Bothell, WA 98021 Ph: (425) 420-1650 |
Dr. Ruth A. Freeman, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1908 201st Pl Se Ste 100, Bothell, WA 98012 Phone: 425-219-4720 Fax: 425-949-7059 | |
Dr. Parul Sharma, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Bothell, WA 98021 Phone: 425-412-7200 | |
Shiquan Liu, MD, PHD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 10701 E Riverside Dr, Apt# 2, Bothell, WA 98011 Phone: 917-302-4077 | |
Jody M Rhoades, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 300, Bothell, WA 98021 Phone: 425-412-7200 Fax: 425-412-7281 | |
Kent William Blakely, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 211, Bothell, WA 98021 Phone: 425-248-2626 | |
Dr. Kerlan Peter Wolsey, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 425-412-7200 | |
Diane Doerner, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 211, Bothell, WA 98021 Phone: 425-420-1648 Fax: 425-420-1649 |