Nicholas Je Moore, MD | |
1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 | |
(719) 593-1799 | |
Not Available |
Full Name | Nicholas Je Moore |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 24 Years |
Location | 1390 Kelly Johnson Blvd, Colorado Springs, Colorado |
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 |
---|---|---|---|
1417905092 | NPI | - | NPPES |
88639266 | Other | CO | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 48664 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aspirus Wausau Hospital | Wausau, WI | Hospital |
Centura Health-penrose St Francis Health Services | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Penrad Imaging Llc | 1850387598 | 29 |
Colorado Springs Radiologists Pc | 6901890094 | 28 |
Radiology Associates Of Wausau, Sc | 7618869587 | 17 |
Entity Name | Colorado Springs Radiologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629168406 PECOS PAC ID: 6901890094 Enrollment ID: O20040412001373 |
Entity Name | Penrad Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003906868 PECOS PAC ID: 1850387598 Enrollment ID: O20040420001609 |
Entity Name | Radiology Associates Of Wausau, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588679450 PECOS PAC ID: 7618869587 Enrollment ID: O20210615000804 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Je Moore, MD 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 Ph: (719) 593-1799 | Nicholas Je Moore, MD 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 Ph: (719) 593-1799 |
Dr. Courtney Todd Tripp, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Richfield Dr, Colorado Springs, CO 80919 Phone: 719-445-2282 | |
Dr. Fahim Hashmi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 516-562-0100 | |
Dr. Barry Lee Gardner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1644 Medical Center Pt, Suite 100, Colorado Springs, CO 80907 Phone: 719-247-5500 Fax: 719-247-5437 | |
Dr. John B Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-593-1799 Fax: 719-265-3794 | |
Dr. Jon F Snider, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-593-1799 Fax: 719-265-3794 | |
John L Sherman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 69 W Boulder St, Colorado Springs, CO 80903 Phone: 719-389-1106 Fax: 719-389-1180 | |
Dr. John E Schiller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2222 N Nevada Ave, Suite 101, Colorado Springs, CO 80907 Phone: 719-776-5281 Fax: 719-471-9314 |