Mr David Wendell Moore, PA-C | |
101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 | |
(859) 275-5229 | |
(859) 977-2683 |
Full Name | Mr David Wendell Moore |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 29 Years |
Location | 101 Prosperous Pl Ste 300, Lexington, Kentucky |
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 |
---|---|---|---|
1427003524 | NPI | - | NPPES |
300009771 | Medicaid | IN | |
611369666 | Other | KY | HUMANA PIN |
000000299029 | Other | KY | ANTHEM PIN |
11368446 | Other | CAQH PROVIDER ID | |
CS1801900158 | Other | CARESOURCE ID | |
164291500 | Other | KY | DEPARTMENT OF LABOR |
84555KYIP | Other | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
1468559 | Other | KY | WELLCARE OF KY PROVIDER ID NUMBER |
95003471 | Medicaid | KY | |
7085548 | Other | AETNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA347 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Lexington | Lexington, KY | Hospital |
Ephraim Mcdowell Regional Medical Center | Danville, KY | Hospital |
Georgetown Community Hospital | Georgetown, KY | Hospital |
Clark Regional Medical Center | Winchester, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Pain Associates Pllc | 0941441919 | 112 |
Mailing Address | Practice Location Address |
---|---|
Mr David Wendell Moore, PA-C Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356 | Mr David Wendell Moore, PA-C 101 Prosperous Pl Ste 300, Lexington, KY 40509-1836 Ph: (859) 275-5229 |
Oleva Jane Coleman Mullins, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1401 Harrodsburg Rd, Suite A-540, Lexington, KY 40504 Phone: 859-258-6760 Fax: 859-258-6512 | |
Mr. James Ransom Adair, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1740 Nicholasville Rd, Lexington, KY 40503 Phone: 859-277-8179 Fax: 859-277-9320 | |
Mr. David C Atkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3085 Lakecrest Cir, Lexington, KY 40513 Phone: 859-258-8600 Fax: 859-258-8610 | |
Emily Megan Carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 Nicholasville Rd, Ste 601, Lexington, KY 40503 Phone: 859-277-5887 Fax: 859-276-7659 | |
Samuel Adam Cundiff, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1350 Bull Lea Rd, Lexington, KY 40511 Phone: 859-246-8000 Fax: 859-246-8032 | |
Remington Kyle Jones, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3101 Beaumont Centre Cir Ste 100, Lexington, KY 40513 Phone: 859-323-5544 Fax: 859-257-9286 | |
Laura Rardin-ecton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 Harrodsburg Rd, Suite B275, Lexington, KY 40504 Phone: 859-278-2334 Fax: 859-278-0159 |