Melissa Justine Moore, MD | |
1500 James Simpson Jr Way, Covington, KY 41011 | |
(859) 655-4111 | |
(859) 655-4815 |
Full Name | Melissa Justine Moore |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 1500 James Simpson Jr Way, Covington, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568812014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116029002 (Virginia) | Secondary |
207Q00000X | Family Medicine | 52784 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Elizabeth Home Care | Florence, KY | Home health agency |
Amedisys Home Health Of Kentucky | Crestview hills, KY | Home health agency |
St Elizabeth Edgewood | Edgewood, KY | Hospital |
St Elizabeth Florence | Florence, KY | Hospital |
St Elizabeth Ft Thomas | Fort thomas, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Inc | 2163326240 | 712 |
Entity Name | Summit Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
Mailing Address | Practice Location Address |
---|---|
Melissa Justine Moore, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 655-4111 | Melissa Justine Moore, MD 1500 James Simpson Jr Way, Covington, KY 41011 Ph: (859) 655-4111 |
Amitava Michael Dasgupta, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 573-882-6228 | |
Dr. Tim Burke Keller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Dr. Teresa Koeller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Luke Sunghoon Hong, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Nathan Allan Gordon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 | |
Mina C Kalfas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 W 18th St, Covington, KY 41011 Phone: 859-757-0717 Fax: 859-331-2425 | |
Patrick Thomas Burns, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Ste 201, Covington, KY 41011 Phone: 859-655-4111 Fax: 859-655-4815 |