Elizabeth Jordan Moore, MD | |
525 Branson Landing Blvd Ste 508, Branson, MO 65616-2131 | |
(417) 335-7540 | |
(417) 335-7544 |
Full Name | Elizabeth Jordan Moore |
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Gender | Female |
Speciality | Family Medicine |
Location | 525 Branson Landing Blvd Ste 508, Branson, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366071540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2021029939 (Missouri) | Primary |
Entity Name | Skaggs Community Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871786905 PECOS PAC ID: 5092624320 Enrollment ID: O20040129000626 |
Mailing Address | Practice Location Address |
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Elizabeth Jordan Moore, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 730-6430 | Elizabeth Jordan Moore, MD 525 Branson Landing Blvd Ste 508, Branson, MO 65616-2131 Ph: (417) 335-7540 |
Saima Rehman Qureshi, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2715 W 76 Country Blvd Ste 103, Branson, MO 65616 Phone: 417-317-5318 | |
Roy Jack Gillispie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5136 Hwy 265, Branson, MO 65616 Phone: 417-338-0960 Fax: 417-338-0968 | |
Alok Shukla, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 W Highway 76, Branson, MO 65616 Phone: 417-317-5318 Fax: 417-763-3370 | |
Jeremy D Mabe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 State Highway 248, Ste. 202, Branson, MO 65616 Phone: 417-348-8964 Fax: 417-336-0275 | |
Dr. Cody Stark Rogers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd, Branson, MO 65616 Phone: 417-335-7128 Fax: 417-348-8007 | |
Jon Kevin Richter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5136 State Highway 265, Branson, MO 65616 Phone: 417-338-0960 Fax: 417-338-0968 | |
Sabera Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Branson Landing Blvd Ste 201a, Branson, MO 65616 Phone: 417-335-7128 Fax: 417-348-8007 |