Duane Moore, MD | |
3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 | |
(314) 577-8776 | |
(314) 268-5697 |
Full Name | Duane Moore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3635 Vista Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700973435 | NPI | - | NPPES |
P00273332 | Other | MO | RR MEDICARE |
207197302 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2005011345 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Duane Moore, MD 3691 Rutger St, Provider Enrollment, Saint Louis, MO 63110-2515 Ph: (314) 977-6828 | Duane Moore, MD 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 Ph: (314) 577-8776 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 | |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11133 Dunn Rd, Saint Louis, MO 63136 Phone: 314-653-5663 | |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 | |
Addie Burtle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-9177 | |
Rahul Gupta, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 |