Dr Robert L Moore, MD | |
5604 Old Canton Rd, Jackson, MS 39211-4217 | |
(601) 991-1044 | |
(601) 991-9868 |
Full Name | Dr Robert L Moore |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 5604 Old Canton Rd, Jackson, Mississippi |
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 |
---|---|---|---|
1841281276 | NPI | - | NPPES |
04133520 | Medicaid | MS | |
315954200 | Other | MS | DOL FECA PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18036 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tyler Holmes Memorial Hospital Cah | Winona, MS | Hospital |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Entity Name | Moore Healthy Family Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205137304 PECOS PAC ID: 6103007984 Enrollment ID: O20110228000249 |
Entity Name | Correct Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert L Moore, MD 5604 Old Canton Rd, Jackson, MS 39211-4217 Ph: (601) 991-1044 | Dr Robert L Moore, MD 5604 Old Canton Rd, Jackson, MS 39211-4217 Ph: (601) 991-1044 |
Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170 | |
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 | |
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889 | |
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241 | |
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420 | |
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616 | |
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 |