| Adam Moeck, | |
|
650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (123) 456-7891 | |
| Not Available |
| Full Name | Adam Moeck |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 650 Joel Dr, Fort Campbell, 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 |
|---|---|---|---|
| 1134515059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101260925 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkeley Medical Center | Martinsburg, WV | Hospital |
| Jefferson Medical Center | Ranson, WV | Hospital |
| Southwest General Health Center | Middleburg heights, OH | Hospital |
| Blessing Hospital | Quincy, IL | Hospital |
| Hurley Medical Center | Flint, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 369 |
| Blessing Hospital | 3072422534 | 369 |
| Hurley Medical Center | 2961308481 | 277 |
| Specialists In Medical Imaging Sc | 2163733544 | 205 |
| Columbus Radiology Corp | 6507754983 | 255 |
| Greensboro Radiology Pa | 8729074901 | 201 |
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20171221000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Moeck, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () - | Adam Moeck, 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (123) 456-7891 |
Ryan Grippo, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8333 | |
Rastislav Osadsky, MD Radiology Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-412-9833 | |
Dr. Scott A Raber, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Stephen Michael Melnyk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Minh Kenney, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Drive, Department Of Radiology, Fort Campbell, KY 42223 Phone: 270-798-8388 | |
Trevor James Reitz, Radiology Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 561-704-6588 |