Richard Charles Moore, MD | |
309 East Spruce, Hailey, ID 83333-3530 | |
(208) 578-2089 | |
Not Available |
Full Name | Richard Charles Moore |
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Gender | Male |
Speciality | Family Medicine |
Location | 309 East Spruce, Hailey, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457481343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 44228 (Minnesota) | Secondary |
207Q00000X | Family Medicine | 6741 (Montana) | Primary |
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
Mailing Address | Practice Location Address |
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Richard Charles Moore, MD Po Box 3530, Hailey, ID 83333-3530 Ph: () - | Richard Charles Moore, MD 309 East Spruce, Hailey, ID 83333-3530 Ph: (208) 578-2089 |
Mrs. Cortney A Vandenburgh, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Frank M Batcha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Thomas E Archie Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Kathryn A Woods, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Amy C Drumm, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Ste 100, Hailey, ID 83333 Phone: 208-788-3434 | |
Lois Adrian, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 | |
Lucinda Leigh Morse, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Aviation Dr, Suite 100, Hailey, ID 83333 Phone: 208-788-3434 Fax: 208-788-2025 |