Marissa Moore, MD | |
201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | |
(985) 898-4001 | |
Not Available |
Full Name | Marissa Moore |
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Gender | Female |
Speciality | Family Medicine |
Location | 201 Saint Ann Dr Ste B, Mandeville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295297638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 333248 (Louisiana) | Primary |
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Entity Name | Belle Chasse Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 |
Entity Name | St Tammany Parish Hospital Service District No 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083793582 PECOS PAC ID: 0749273761 Enrollment ID: O20150915001107 |
Mailing Address | Practice Location Address |
---|---|
Marissa Moore, MD 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 Ph: (985) 898-4001 | Marissa Moore, MD 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 Ph: (985) 898-4001 |
Dr. Candice Leduff Knight, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471 Phone: 985-624-3468 Fax: 985-624-3969 | |
Maria Dolores Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-898-4001 Fax: 985-626-9618 | |
Kaitlin Crane Massey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 Saint Ann Dr, Mandeville, LA 70471 Phone: 985-898-4001 | |
Dr. Timothy L Riddell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Dr. Robert P Guilbault Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 Asbury Drive, Mandeville, LA 70471 Phone: 985-630-9618 Fax: 985-231-7010 | |
Gabrielle Givens, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Saint Ann Dr Ste B, Mandeville, LA 70471 Phone: 985-626-1717 |