Michael David Moore, MD | |
5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | |
(315) 422-4412 | |
Not Available |
Full Name | Michael David Moore |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 34 Years |
Location | 5792 Widewaters Pkwy Ste 101, Syracuse, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366521759 | NPI | - | NPPES |
7429234 | Other | CA | AETNA |
90121857 | Other | CA | PACIFICARE |
1392936 | Other | CA | GREAT WEST |
1767577 | Other | CA | UNITED HEALTHCARE |
2258848 | Other | CA | FIRST HEALTH |
937998 | Other | CA | FIRST HEALTH |
000001620745 | Other | CA | PHCS |
49516 | Other | CA | INTERPLAN |
089071 | Other | CA | HEALTH NET |
2700475 | Other | CA | CIGNA |
00G854280 | Medicaid | CA | |
01852235 | Medicaid | NY | |
G85428 | Other | CA | BLUE CROSS |
MCMG170200 | Other | CA | WESTERN HEALTH ADVANTAGE |
00G854280 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G85428 (California) | Secondary |
207W00000X | Ophthalmology | 207748 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Consultants Of Syracuse, Pc | 5496787038 | 7 |
Entity Name | Ophthalmology Medical Service Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225072051 PECOS PAC ID: 0446248033 Enrollment ID: O20040503001408 |
Entity Name | Eye Consultants Of Syracuse, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568578920 PECOS PAC ID: 5496787038 Enrollment ID: O20050906000151 |
Mailing Address | Practice Location Address |
---|---|
Michael David Moore, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 | Michael David Moore, MD 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 |
Dr. George Salloum, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5230 | |
Stephen W Merriam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy, Syracuse, NY 13214 Phone: 315-422-4412 Fax: 315-422-4432 | |
Charles Teitelbaum, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214 Phone: 315-422-4412 | |
Dr. Michael J Geiss Iii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2215 E Genesee St, Syracuse, NY 13210 Phone: 315-472-5329 Fax: 315-472-3211 | |
Preethi Ganapathy, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 550 Harrison St Ste L, Syracuse, NY 13202 Phone: 315-464-5253 | |
Dr. Adam Miller, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214 Phone: 315-422-4412 | |
Evis Petrela, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Suite 3p, Syracuse, NY 13215 Phone: 315-492-5910 Fax: 315-492-5950 |