| Charlotte A Moore, DO | |
|
1405 Kiln Creek Parkway, Ste K, Newport News, VA 23602 | |
| (757) 369-5784 | |
| (757) 369-5785 |
| Full Name | Charlotte A Moore |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1405 Kiln Creek Parkway, Newport News, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275512360 | NPI | - | NPPES |
| 1275512360 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102201212 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Riverside Regional Medical Center | Newport news, VA | Hospital |
| Bon Secours Mary Immaculate Hospital | Newport news, VA | Hospital |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte A Moore, DO 860 Omni Blvd, Suite 303, Newport News, VA 23606 Ph: (757) 232-8777 | Charlotte A Moore, DO 1405 Kiln Creek Parkway, Ste K, Newport News, VA 23602 Ph: (757) 369-5784 |
Dr. Daniel Jason Frasca, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Neama Komishani Setambar I, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 703-851-9820 | |
Catherine Wilson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12200 Warwick Blvd Ste 110, Newport News, VA 23601 Phone: 757-534-9988 | |
Dr. James Edward Burton Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10852 Warwick Boulevard, Hilton Family Practice, Newport News, VA 23601 Phone: 757-594-3602 | |
Kent E. Willyard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12695 Mcmanus Blvd, Bldg 6, Suite A, Newport News, VA 23602 Phone: 757-969-1755 Fax: 757-969-1722 | |
Dr. Jeffrey Harris, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave, Suite A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Dr. Toti Palma Gonzalo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 716 Denbigh Blvd, Suite A-1, Newport News, VA 23608 Phone: 757-872-6620 Fax: 757-877-5450 |