| Andrew E Moore, MD | |
|
5113 Perry Ln, Merriam, KS 66203-4827 | |
| (505) 360-1424 | |
| Not Available |
| Full Name | Andrew E Moore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 5113 Perry Ln, Merriam, Kansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144842378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 85340 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 04-53107 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Unitypoint Health - Meriter | Madison, WI | Hospital |
| Entity Name | University of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | University of Wisconsin System Non Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346266319 PECOS PAC ID: 9133024888 Enrollment ID: O20031204001102 |
| Entity Name | Group Health Cooperative of South Central Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20090210000218 |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew E Moore, MD 5113 Perry Ln, Merriam, KS 66203-4827 Ph: Not Available | Andrew E Moore, MD 5113 Perry Ln, Merriam, KS 66203-4827 Ph: (505) 360-1424 |