Dr Phillip Schmitz Moore, MD | |
2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | |
(336) 794-8624 | |
(336) 231-8845 |
Full Name | Dr Phillip Schmitz Moore |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 2827 Lyndhurst Ave, Winston Salem, North Carolina |
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 |
---|---|---|---|
1215119151 | NPI | - | NPPES |
1215119151 | Medicaid | VA | |
5911465 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2008-01396 (North Carolina) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 2008-01396 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Schmitz Moore, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 794-8624 | Dr Phillip Schmitz Moore, MD 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 Ph: (336) 794-8624 |
Nikhil Teppara, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2915 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-5221 Fax: 336-765-0430 | |
Gregory Stiegler Waters, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Charles Siewers Turner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Konstantinos Ioannis Votanopoulos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-6637 | |
Bansi P Shah, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3318 Healy Dr, Winston Salem, NC 27103 Phone: 336-768-3530 Fax: 336-768-1329 | |
Jennifer Andrews Sumner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4241 | |
Clancy J Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-9272 Fax: 336-716-6637 |