Dr Jon M Moore, MD | |
2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | |
(850) 494-3749 | |
(850) 494-3974 |
Full Name | Dr Jon M Moore |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 2130 E Johnson Ave Ste 130, Pensacola, Florida |
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 |
---|---|---|---|
1568429462 | NPI | - | NPPES |
003228100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME108460 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
West Florida Hospital | Pensacola, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Florida Specialty Physicians Llc | 6002943198 | 19 |
Entity Name | West Florida Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942538012 PECOS PAC ID: 6002943198 Enrollment ID: O20100421000668 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon M Moore, MD 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 Ph: (850) 494-3749 | Dr Jon M Moore, MD 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 Ph: (850) 494-3749 |
Isaiah Brown, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 | |
William J Kaiser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave Ste 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
Valerie Marie Pruitt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4451 Bayou Blvd, Pensacola, FL 32503 Phone: 850-416-6159 Fax: 850-416-7198 | |
Dr. Mark Edward Lytle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5149 N 9th Ave, Suite 120, Pensacola, FL 32504 Phone: 850-479-1805 Fax: 850-479-1829 | |
John A Tucker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, Floor, Pensacola, FL 32514 Phone: 850-437-3777 Fax: 850-437-3318 | |
Ludovic M Lasquety, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5147 N 9th Ave, Ste. 203, Pensacola, FL 32504 Phone: 850-476-6110 Fax: 850-479-6042 | |
Layne R. Yonehiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 N E St, Suite 533, Pensacola, FL 32501 Phone: 850-429-0102 Fax: 850-429-0830 |