Dr Micah Robert Moore, DO | |
400 N Jefferson St, Lewisburg, WV 24901 | |
(304) 645-3220 | |
(304) 647-1273 |
Full Name | Dr Micah Robert Moore |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 7 Years |
Location | 400 N Jefferson St, Lewisburg, West Virginia |
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 |
---|---|---|---|
1346770872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 3323 (West Virginia) | Secondary |
207Q00000X | Family Medicine | 3323 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Hospice Llc | Piedmont, SC | Hospice |
Piedmont Medical Center | Rock hill, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Hospitalist Services Pc | 3476855420 | 275 |
Entity Name | Southeastern Hospitalist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
Mailing Address | Practice Location Address |
---|---|
Dr Micah Robert Moore, DO 1320 Maplewood Ave, Ronceverte, WV 24970-8016 Ph: () - | Dr Micah Robert Moore, DO 400 N Jefferson St, Lewisburg, WV 24901 Ph: (304) 645-3220 |
Jennifer Nicole Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
James Yi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-647-1372 | |
George F Boxwell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Christopher Paul Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
Thomas F Steele, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Zachary J Comeaux, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Deborah Lynn Mathis, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 N Jefferson St, Robert C. Byrd Clinic, Lewisburg, WV 24901 Phone: 304-645-3220 |