Mary D Moore, MD | |
1000 Houghton Ave, Saginaw, MI 48602-5303 | |
(989) 746-7500 | |
(989) 746-7752 |
Full Name | Mary D Moore |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Rheumatology |
Location | 1000 Houghton Ave, Saginaw, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275502445 | NPI | - | NPPES |
3503906282 | Other | BCBS | |
4440356 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0216X | Pediatrics - Pediatric Rheumatology | 4301080845 (Michigan) | Primary |
Entity Name | Saginaw Cooperative Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346344991 PECOS PAC ID: 3971400318 Enrollment ID: O20031215000723 |
Entity Name | Western Michigan University School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316212343 PECOS PAC ID: 7517113954 Enrollment ID: O20120817000243 |
Mailing Address | Practice Location Address |
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Mary D Moore, MD 1000 Houghton Ave, Saginaw, MI 48602-5303 Ph: (989) 746-7500 | Mary D Moore, MD 1000 Houghton Ave, Saginaw, MI 48602-5303 Ph: (989) 746-7500 |
Adeeba Sultana Khan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7500 Fax: 989-583-6955 | |
Donald B Passal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1522 Janes Ave, Saginaw, MI 48601 Phone: 989-755-0316 Fax: 989-755-0956 | |
Dr. Mohammad Y Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5821 Colony Dr N, Saginaw, MI 48603 Phone: 989-797-1051 Fax: 989-797-1047 | |
Robert Douglas Thill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3875 Bay Rd, Suite 1s, Saginaw, MI 48603 Phone: 989-793-9983 Fax: 989-793-9951 | |
Julie Ann Painter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7500 | |
Dr. Thomas Michael Burkey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5821 Colony Dr N, Saginaw, MI 48603 Phone: 989-797-1051 Fax: 989-799-0256 | |
Ankit Gaudani, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7816 |