Terry J Moore, MD | |
1821 S Webster Ave, Green Bay, WI 54301-2253 | |
(920) 496-4700 | |
(920) 496-4705 |
Full Name | Terry J Moore |
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Gender | Male |
Speciality | Ophthalmology |
Location | 1821 S Webster Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376550772 | NPI | - | NPPES |
32575400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 41170 (Wisconsin) | Primary |
Entity Name | Northeast Wisconsin Retina Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437164175 PECOS PAC ID: 8224029707 Enrollment ID: O20040522000093 |
Mailing Address | Practice Location Address |
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Terry J Moore, MD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700 | Terry J Moore, MD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700 |
Dr. Ayman Elnahry, MD, PHD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 | |
Larry A Meyer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Ste 100, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Dr. William Joseph Reynders, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Kevin P Wienkers, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 | |
Karl Lee Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Kurt August Schwiesow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1087 W Mason Street, Green Bay, WI 54303 Phone: 920-499-3102 Fax: 920-499-9636 | |
Mark T Duffy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005 |