Dr Jack W Moore, MD | |
4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | |
(256) 881-5151 | |
(256) 880-3939 |
Full Name | Dr Jack W Moore |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 31 Years |
Location | 4715 Whitesburg Dr S, Huntsville, Alabama |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235170812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 21750 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crestwood Medical Center | Huntsville, AL | Hospital |
Athens Limestone Hospital | Athens, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cal Care Of Al, Llc | 6103152186 | 10 |
Sportsmed Orthopaedic Specialists | 7214903723 | 77 |
Entity Name | Sportsmed Orthopaedic Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508947839 PECOS PAC ID: 7214903723 Enrollment ID: O20040907000749 |
Entity Name | Cal Care Of Al, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700348679 PECOS PAC ID: 6103152186 Enrollment ID: O20190729003142 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack W Moore, MD 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 Ph: (256) 881-5151 | Dr Jack W Moore, MD 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 Ph: (256) 881-5151 |
Dr. Mark A Leberte, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St, Huntsville, AL 25801 Phone: 256-539-2728 Fax: 256-428-3423 | |
Sudhakar G. Madanagopal, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-539-2666 | |
Dr. James Turner Hughey Iii, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-539-2666 | |
Dr. Heather Leigh Licht, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 | |
Dr. Zachary Andrew Mosher, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4715 Whitesburg Dr Se, Huntsville, AL 35802 Phone: 256-881-5151 Fax: 256-880-3939 | |
Dr. Michael E Miller, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-428-3423 | |
Dr. Randall J Tindell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4715 Whitesburg Dr Se, Huntsville, AL 35802 Phone: 256-881-5151 Fax: 256-880-3939 |