Marcus A Moore, DO | |
6770 Dixie Hwy Ste 200, Clarkston, MI 48346-2089 | |
(248) 625-2621 | |
(248) 625-8938 |
Full Name | Marcus A Moore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 6770 Dixie Hwy Ste 200, Clarkston, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083633887 | NPI | - | NPPES |
5101015942 | Other | MI | PHYSICIAN LICENSE |
5315024072 | Other | MI | CONTROLLED SUBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101015942 (Michigan) | Primary |
Entity Name | Medical Center Emergency Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902855711 PECOS PAC ID: 0648182071 Enrollment ID: O20031104000133 |
Mailing Address | Practice Location Address |
---|---|
Marcus A Moore, DO 5360 Wild Daisy Ct, Clarkston, MI 48346-4984 Ph: (248) 921-9524 | Marcus A Moore, DO 6770 Dixie Hwy Ste 200, Clarkston, MI 48346-2089 Ph: (248) 625-2621 |
William E Rizzo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346 Phone: 248-625-2273 Fax: 248-625-6336 | |
Dr. Christina L. Campbell, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6310 Sashabaw Rd Ste A, Christina Campbell, Do, Pllc, Clarkston, MI 48346 Phone: 248-425-8352 | |
Dawn Turner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346 Phone: 248-625-2621 Fax: 248-625-8938 | |
Dr. Jeffrey Thewes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7931 Bridge Vly, Clarkston, MI 48348 Phone: 248-620-3518 | |
David William Thomas, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346 Phone: 248-625-2621 Fax: 248-625-8938 |