Dr Henry R Moore Iii, MD | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3240 | |
(217) 383-4597 |
Full Name | Dr Henry R Moore Iii |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 22 Years |
Location | 611 W Park St, Urbana, Illinois |
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 |
---|---|---|---|
1932392099 | NPI | - | NPPES |
0533210001 | Other | DMERC | |
036119986 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD036123 (District Of Columbia) | Secondary |
208600000X | Surgery | 036119986 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Richland Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry R Moore Iii, MD 611 W Park St, Fapc, Urbana, IL 61801-2529 Ph: () - | Dr Henry R Moore Iii, MD 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3240 |
Mahmoud Elrakhawy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-904-7000 | |
Conlan Joseph Pierce, MD Surgery Medicare: Medicare Enrolled Practice Location: 601 W Park St, Urbana, IL 61801 Phone: 540-326-2910 | |
Brian Robert Beeman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Hvi, Urbana, IL 61801 Phone: 217-904-7000 Fax: 217-904-7748 | |
Christian A Perez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 | |
Yongsoo Kwon, Surgery Medicare: May Accept Medicare Assignments Practice Location: 1800 Glenwood Oaks Ct, Urbana, IL 61801 Phone: 217-337-5299 | |
Anant Singh Amar, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Richard B Berlin, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 W. University Avenue, General Surgery, Urbana, IL 61801 Phone: 217-383-3240 Fax: 217-383-4597 |