Christine L Moore Do Pc | |
6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 | |
(816) 322-0701 | |
(816) 322-2035 |
Full Name | Christine L Moore Do Pc |
---|---|
Speciality | Family Medicine |
Location | 6325 Blue Ridge Blvd, Raytown, Missouri |
Authorized Official Name and Position | Jay Collins (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 8163220701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Christine L Moore Do Pc 6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 Ph: (816) 322-0701 | Christine L Moore Do Pc 6325 Blue Ridge Blvd Suite C Raytown MO 64133-4886 Ph: (816) 322-0701 |
NPI Number | 1861449621 |
---|---|
Provider Enumeration Date | 05/27/2006 |
Last Update Date | 10/26/2007 |
Medicare PECOS PAC ID | 5991732075 |
---|---|
Medicare Enrollment ID | O20050720000510 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861449621 | NPI | - | NPPES |
25009021 | Other | MO | BCBS OF KC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Christine L Moore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235131574 PECOS PAC ID: 3971530056 Enrollment ID: I20050726000719 |
Hometown Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6317 Evanston Ave, Raytown, MO 64133 Phone: 816-353-3939 Fax: 816-353-2688 | |
Research Family Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10000 E 66th Ter, Raytown, MO 64133 Phone: 816-737-1037 Fax: 816-737-0477 | |
Carespot Of Raytown (9490 East 350 Highway), Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9490 E 350, Raytown, MO 64133 Phone: 615-600-4060 Fax: 615-309-4624 | |
Preveycare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 E 67th St, Raytown, MO 64133 Phone: 816-287-0728 |