John R Moore, APRN CNP | |
718 N Macomb St, Monroe, MI 48162-7815 | |
(419) 708-8228 | |
Not Available |
Full Name | John R Moore |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 718 N Macomb St, Monroe, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720794167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 0032642 (Ohio) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 0032642 (Ohio) | Primary |
Entity Name | Mercy Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
Mailing Address | Practice Location Address |
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John R Moore, APRN CNP 7012 Cloister Rd, Toledo, OH 43617-2208 Ph: (419) 708-8228 | John R Moore, APRN CNP 718 N Macomb St, Monroe, MI 48162-7815 Ph: (419) 708-8228 |
Dr. Marla Korlin Hires, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 730 N Macomb St Ste 200, Monroe, MI 48162 Phone: 734-240-1760 Fax: 734-240-1763 | |
Jenna Teresa Kado, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St Ste 300, Monroe, MI 48162 Phone: 734-430-3151 Fax: 419-479-2696 | |
Dr. Stanford C Rapp, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St Ste 415, Monroe, MI 48162 Phone: 734-430-3140 Fax: 734-430-3144 | |
Kim Horn, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1001 S Raisinville Rd, Monroe, MI 48161 Phone: 734-384-8595 Fax: 734-243-5506 | |
Thomas O Osinowo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 730 N Monroe St # 200, Monroe, MI 48162 Phone: 734-240-1760 Fax: 734-240-1763 | |
Dr. Mubeen A Memon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2092 S Custer Rd, Monroe, MI 48161 Phone: 734-457-2161 Fax: 734-457-4146 | |
Dr. Ravindra Nath Polavarapu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 Stewart Rd, Suite 105, Monroe, MI 48162 Phone: 734-240-1760 Fax: 734-240-1780 |