| Andrew Moore, MD | |
|
14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 | |
| (734) 593-5700 | |
| (734) 593-5705 |
| Full Name | Andrew Moore |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 14650 E. Old Us Hwy 12, Chelsea, Michigan |
| 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 |
|---|---|---|---|
| 1437374931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 4301083833 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 4301083833 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Chelsea | Chelsea, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Michigan Surgery Specialists Pc | 7113835075 | 27 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Entity Name | Michigan Surgery Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184828451 PECOS PAC ID: 7113835075 Enrollment ID: O20040302001010 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Moore, MD 24 Frank Lloyd Wright Dr., Lobby J2000, Ann Arbor, MI 48106 Ph: (734) 330-7342 | Andrew Moore, MD 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 Ph: (734) 593-5700 |
Mark C Pinto, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 Phone: 734-593-5700 Fax: 734-593-5705 | |
Dr. Cameron Patthanacharoenphon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 Phone: 734-593-5700 | |
Robert Michael Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 Phone: 734-593-5700 Fax: 734-593-5705 | |
William R Lee, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 14650 Old Us East, Suite 306, Chelsea, MI 48118 Phone: 734-475-6022 Fax: 734-475-6021 | |
Creg A Carpenter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 Phone: 734-593-5700 Fax: 734-593-5705 |