| Richard A Moore, MD | |
|
609 S Christopher Rd, Pmg Belen, Belen, NM 87002 | |
| (505) 864-5454 | |
| (505) 864-5450 |
| Full Name | Richard A Moore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 609 S Christopher Rd, Belen, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689633935 | NPI | - | NPPES |
| K6868 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2002-0160 (New Mexico) | Primary |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Moore, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Richard A Moore, MD 609 S Christopher Rd, Pmg Belen, Belen, NM 87002 Ph: (505) 864-5454 |
Roderick Woods, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Christopher Dr, Belen, NM 87002 Phone: 505-248-1800 Fax: 505-248-1917 | |
Mr. Michael E. Gurule, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Christopher Dr, Belen, NM 87002 Phone: 505-248-1800 Fax: 505-248-1917 | |
Mr. Loutsios K. Ierides, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Christopher Dr, Belen, NM 87002 Phone: 505-248-1800 Fax: 505-248-1917 |