Lance Kenneth Moore, PT, DPT | |
1211 S Gloster St Ste C, Tupelo, MS 38801-6548 | |
(662) 432-1523 | |
Not Available |
Full Name | Lance Kenneth Moore |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1211 S Gloster St Ste C, Tupelo, Mississippi |
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 |
---|---|---|---|
1992466411 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7251 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Focus Physiotherapy, Llc | 4284940339 | 14 |
Provider Name | Focus Physiotherapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659751030 PECOS PAC ID: 4284940339 Enrollment ID: O20151202001988 |
Mailing Address | Practice Location Address |
---|---|
Lance Kenneth Moore, PT, DPT 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523 | Lance Kenneth Moore, PT, DPT 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 Ph: (662) 432-1523 |
Tupelo Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216 | |
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134 | |
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058 | |
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807 | |
Lisa Ross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 | |
Mr. Mark Chapin Bresee, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 Fax: 662-842-2105 | |
Michael Scott Childers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 Fax: 662-432-1528 |