Dr John Russell Moore, MD | |
19001 E 48th St S, Independence, MO 64055 | |
(816) 836-8831 | |
(816) 795-0144 |
Full Name | Dr John Russell Moore |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 19001 E 48th St S, Independence, Missouri |
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 |
---|---|---|---|
1114977550 | NPI | - | NPPES |
204467005 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2001004851 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Saint Luke's East Hospital | Lees summit, MO | Hospital |
Saint Luke's South Hospital | Overland park, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Urologic Associates Inc | 7618133778 | 13 |
Advanced Urologic Associates Inc | 7618133778 | 13 |
Entity Name | Advanced Urologic Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801389267 PECOS PAC ID: 7618133778 Enrollment ID: O20120718000595 |
Mailing Address | Practice Location Address |
---|---|
Dr John Russell Moore, MD 19001 E 48th St S, Independence, MO 64055 Ph: (816) 836-8831 | Dr John Russell Moore, MD 19001 E 48th St S, Independence, MO 64055 Ph: (816) 836-8831 |
Dr. James Sanford Mcintosh, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 19001 E 48th St S, Independence, MO 64055 Phone: 816-836-8831 | |
Dr. Ryan Thomas Miller, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 19001 E 48th St. S, Independence, MO 64055 Phone: 314-520-2291 Fax: 816-795-0144 | |
Dr. Kent L Haggard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 17525 Medical Center Pkwy, Independence, MO 64057 Phone: 816-994-3150 Fax: 816-359-3044 | |
Andrew B Morris, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 17525 Medical Center Pkwy, Independence, MO 64057 Phone: 816-994-3150 Fax: 816-359-3044 | |
Dr. Harold Calvin Lentz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 19001 E 48th St S, Independence, MO 64055 Phone: 816-836-8831 Fax: 816-795-0144 | |
Andrew David Wright, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 17525 Medical Center Pkwy, Independence, MO 64057 Phone: 816-994-3150 Fax: 816-359-3044 |