Laurence Nicholas Moore, MD | |
3209 Dryden Dr, Madison, WI 53704-3015 | |
(608) 241-9020 | |
(608) 240-4237 |
Full Name | Laurence Nicholas Moore |
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Gender | Male |
Speciality | Family Medicine |
Location | 3209 Dryden Dr, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275030850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD200222 (Oregon) | Secondary |
207Q00000X | Family Medicine | A177529 (California) | Secondary |
207Q00000X | Family Medicine | 81814-20 (Wisconsin) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
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Laurence Nicholas Moore, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Laurence Nicholas Moore, MD 3209 Dryden Dr, Madison, WI 53704-3015 Ph: (608) 241-9020 |
Parker Hoerz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3434 E Washington Ave, Madison, WI 53704 Phone: 608-443-5480 | |
Rebecca Bull, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
George F Leydon Iii, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 W Washington Ave, Madison, WI 53703 Phone: 608-257-9700 | |
Maria Z Din, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-252-8283 | |
Caitlin J Regner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 S Park St, Madison, WI 53715 Phone: 608-263-3111 Fax: 608-263-6663 | |
Danalyn K Rayner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7102 Mineral Point Rd, Madison, WI 53717 Phone: 608-828-7603 Fax: 608-828-7644 | |
Rosa A Gilestra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-260-6161 |