| Adam Moeck, | |
| 650 Joel Dr, Fort Campbell, KY 42223-5318 | |
| (123) 456-7891 | |
| Not Available | 
| Full Name | Adam Moeck | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 650 Joel Dr, Fort Campbell, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134515059 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101260925 (Virginia) | Primary | 
| 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: Medicare Enrolled 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 |