Johanna Catherine Moore, MD | |
701 Park Ave South, Hennepin County Medical Center Revenue Management, Minneapolis, MN 55415 | |
(612) 873-3044 | |
(612) 630-8242 |
Full Name | Johanna Catherine Moore |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 17 Years |
Location | 701 Park Ave South, Minneapolis, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366619108 | NPI | - | NPPES |
1366619108 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 52841 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hennepin County Medical Center 1 | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hennepin Healthcare System Inc | 4789684861 | 804 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Johanna Catherine Moore, MD 701 Park Ave South, Hennepin County Medical Center Revenue Management, Minneapolis, MN 55415 Ph: (612) 873-3044 | Johanna Catherine Moore, MD 701 Park Ave South, Hennepin County Medical Center Revenue Management, Minneapolis, MN 55415 Ph: (612) 873-3044 |
Daniel Hart, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Mr. Collin Markham Cousins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E 28th St # Mr 11112, Minneapolis, MN 55407 Phone: 612-863-4233 | |
Brenda Leech, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3547 | |
Paul C Allegra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Dr. Kurt Andrew Hessen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Dr. Bar Ferents, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Margot Samson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-5683 |