Dr Jean N Moore, MD | |
115 4th St S, Great Falls, MT 59401-3618 | |
(406) 454-6973 | |
(406) 791-9277 |
Full Name | Dr Jean N Moore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 115 4th St S, Great Falls, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801938980 | NPI | - | NPPES |
137514001 | Medicaid | AR | |
124444828 | Other | MO | MO BLUE SHIELD |
207814815 | Medicaid | MO | |
98575 | Other | AR | ARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 70366 (Montana) | Primary |
Entity Name | Benefis Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780968974 PECOS PAC ID: 1153235296 Enrollment ID: O20100629000044 |
Mailing Address | Practice Location Address |
---|---|
Dr Jean N Moore, MD 601 1st Ave N, Great Falls, MT 59401-2510 Ph: (406) 454-6973 | Dr Jean N Moore, MD 115 4th St S, Great Falls, MT 59401-3618 Ph: (406) 454-6973 |
Dr. Guy C Venuti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 115 4th St S, Great Falls, MT 59401 Phone: 406-454-6973 Fax: 406-791-9277 | |
Colleen M Marron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 406-454-2171 Fax: 406-771-3021 | |
Jordan Lejeune, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 Fax: 406-731-8876 | |
Dr. Kris A Kuper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Division Rd, Great Falls, MT 59404 Phone: 406-268-1600 Fax: 460-771-3549 | |
Jeffrey P Hinz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Division Rd, Great Falls, MT 59404 Phone: 406-268-1600 Fax: 406-771-3549 | |
Mr. Michael K Garver, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 926 13th Ave S, Premier Care Pediatrics, Great Falls, MT 59405 Phone: 406-770-3000 Fax: 406-770-3146 | |
Nancy J Maynard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 406-454-2171 Fax: 406-771-3021 |