| Barry Allen Moore, MD | |
|
311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 | |
| (910) 791-6767 | |
| (910) 399-2190 |
| Full Name | Barry Allen Moore |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 311 Judges Rd, Wilmington, 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 |
|---|---|---|---|
| 1255323622 | NPI | - | NPPES |
| 891175P | Medicaid | NC | |
| 1175P | Other | NC | BCBSNC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19520 (North Carolina) | Primary |
| Entity Name | Capeside Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760891980 PECOS PAC ID: 5991926560 Enrollment ID: O20141023001370 |
| Entity Name | Ncg Acquisition, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578091161 PECOS PAC ID: 1850657446 Enrollment ID: O20171115000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Allen Moore, MD 311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 Ph: (910) 791-6767 | Barry Allen Moore, MD 311 Judges Rd, Building 4e, Wilmington, NC 28405-3651 Ph: (910) 791-6767 |
Dr. James Perry Mayo Iii, M.D., MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1426 Navaho Trl Unit 107, Wilmington, NC 28409 Phone: 910-518-8807 Fax: 910-216-4278 | |
Dr. Christopher Robert Myers, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 | |
Dr. Lionel Gregory Fernando, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5617 Maxwell Pl, Wilmington, NC 28409 Phone: 910-742-9243 Fax: 888-746-1787 | |
Nina Leah Yokochi-funkhouser, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-815-5830 | |
Chih-cheng Frank Chen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401 Phone: 910-395-5521 Fax: 910-350-1123 | |
Dr. Burt Powers Johnson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2023 S 17th St, Wilmington, NC 28401 Phone: 910-251-6499 Fax: 910-251-6511 | |
Dr. Brett A Gurkin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3208 Oleander Dr, Wilmington, NC 28403 Phone: 910-794-3929 Fax: 910-798-2303 |