| Andrew J Moore, MD | |
|
2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 | |
| (704) 834-3471 | |
| Not Available |
| Full Name | Andrew J Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336400639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 252576 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | 2014-02448 (North Carolina) | Primary |
| Entity Name | Gastonia Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316367691 PECOS PAC ID: 3870719602 Enrollment ID: O20140730002523 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Moore, MD 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 Ph: (704) 834-3471 | Andrew J Moore, MD 2525 Court Drive Gastonia Physician Services, Pllc, Gastonia, NC 28054-2140 Ph: (704) 834-3471 |
Dr. Ian Oluremilekun Cole, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 | |
Dino A Graziano, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3104 Love Ct, Gastonia, NC 28056 Phone: 704-813-9463 | |
Kyle Roedersheimer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 | |
Timothy F Corvino, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 330-493-4443 Fax: 330-493-8677 | |
Dr. Karen B Bentley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2662 Fax: 704-834-2686 | |
Dr. Renee Annette Fulbright, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2525 Court Dr, Department Of Emergency Medicine Gaston Memorial Hosp., Gastonia, NC 28054 Phone: 704-834-2266 |