Melissa Anne Moore, MD | |
970 W Wooster St, Suite 130, Bowling Green, OH 43402-1600 | |
(419) 352-6890 | |
(419) 353-2415 |
Full Name | Melissa Anne Moore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 970 W Wooster St, Bowling Green, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265728000 | NPI | - | NPPES |
0107233 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.123460 (Ohio) | Primary |
Entity Name | Promedica Central Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
Entity Name | Wood Health Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776916 PECOS PAC ID: 7911800461 Enrollment ID: O20040130000837 |
Mailing Address | Practice Location Address |
---|---|
Melissa Anne Moore, MD 745 Haskins Rd, Suite B, Bowling Greeen, OH 43402-1600 Ph: (419) 353-7069 | Melissa Anne Moore, MD 970 W Wooster St, Suite 130, Bowling Green, OH 43402-1600 Ph: (419) 352-6890 |
Mrs. Syeda S. Ahmed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 960 W. Wooster Street, Suite 216, Bowling Green, OH 43402 Phone: 419-354-3123 Fax: 419-352-3939 | |
Mr. Mohammed K Ahmed, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 W Wooster St, Ste 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Stephanie Marie Weckesser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 970 W Wooster St, Suite 130, Bowling Green, OH 43402 Phone: 419-352-6890 Fax: 419-353-2415 | |
Michael Lemon, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 | |
Melissa Marie Houser, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 | |
Claire Elise Natsios, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 970 W Wooster St Rm 130, Bowling Green, OH 43402 Phone: 419-352-6890 |