| Omar Jishi Moore, MD | |
|
3003 Claire Ln Ste 100, Jacksonville, FL 32223-6667 | |
| (904) 204-6585 | |
| (850) 390-7195 |
| Full Name | Omar Jishi Moore |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 10 Years |
| Location | 3003 Claire Ln Ste 100, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1487072245 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Edward Hospital | Naperville, IL | Hospital |
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Seizure Doc | 5395150437 | 2 |
| Florida Seizure Doc | 5395150437 | 2 |
| Monitoring Associates Llc | 8921314923 | 10 |
| Entity Name | Florida Seizure Doc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184215006 PECOS PAC ID: 5395150437 Enrollment ID: O20210223000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Jishi Moore, MD 3003 Claire Ln Ste 100, Jacksonville, FL 32223-6667 Ph: (904) 204-6585 | Omar Jishi Moore, MD 3003 Claire Ln Ste 100, Jacksonville, FL 32223-6667 Ph: (904) 204-6585 |
Dr. Aylin Saner Emmert, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1650 Prudential Dr Ste 210, Jacksonville, FL 32207 Phone: 904-376-3800 | |
Dr. Justin Michael Mortimer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2732 Trollie Ln, Jacksonville, FL 32211 Phone: 904-289-1254 | |
Caitlin Gardiner, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207 Phone: 917-634-5311 | |
Ansley Caroline Madala, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Raj D Sheth, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 807 Children's Way, Jacksonville, FL 32207 Phone: 904-390-3600 Fax: 904-390-3422 | |
Marian A Levai, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11820 Beach Boulevard, Jacksonville, FL 32246 Phone: 904-642-9100 Fax: 904-642-9108 | |
Dr. Riaz Ahmed, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1536 N Jefferson St, Jacksonville, FL 32209 Phone: 904-470-5800 Fax: 352-384-8014 |