Mr William M Moore Jr, MD | |
2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | |
(803) 936-7095 | |
(803) 936-7908 |
Full Name | Mr William M Moore Jr |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 2728 Sunset Blvd Ste 400, West Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316958895 | NPI | - | NPPES |
119080 | Medicaid | SC | |
P00120188 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 11908 (South Carolina) | Primary |
Entity Name | Lexington Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
Mailing Address | Practice Location Address |
---|---|
Mr William M Moore Jr, MD Po Box 6069, West Columbia, SC 29171-6069 Ph: () - | Mr William M Moore Jr, MD 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 Ph: (803) 936-7095 |
Dr. Solon Gray Hughes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Elizabeth Ellen Price, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. Marc C Antonetti, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Dr. John D. Deperi, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 400, West Columbia, SC 29169 Phone: 803-936-3300 Fax: 803-936-7735 | |
Jeffrey S. Molle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 176 Mcswain Dr, West Columbia, SC 29169 Phone: 803-767-4465 Fax: 803-767-4120 | |
Dr. Goran Rac, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 101, West Columbia, SC 29169 Phone: 803-739-3660 Fax: 803-739-3663 | |
Dr. Todd Samuel Lefkowitz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 Phone: 803-936-7045 |