| Clark D Moore Iii, MD | |
|
191 Centre South Blvd, Suite 10, Aiken, SC 29803-6313 | |
| (803) 335-2281 | |
| (803) 937-1706 |
| Full Name | Clark D Moore Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 53 Years |
| Location | 191 Centre South Blvd, Aiken, South Carolina |
| 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 |
|---|---|---|---|
| 1417928284 | NPI | - | NPPES |
| 101455 | Medicaid | SC | |
| 57-0724225 | Other | SC | TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 10145 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Newberry, SC | Home health agency |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Entity Name | Carolina Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821479163 PECOS PAC ID: 8022324581 Enrollment ID: O20150828000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark D Moore Iii, MD 191 Centre South Blvd, Suite 10, Aiken, SC 29803-6313 Ph: (803) 335-2281 | Clark D Moore Iii, MD 191 Centre South Blvd, Suite 10, Aiken, SC 29803-6313 Ph: (803) 335-2281 |
Dr. Edward Michael Crosland, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 High Gate Loop, Aiken, SC 29803 Phone: 803-265-8117 Fax: 803-265-2502 | |
Evan Franklin Ekman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 191 Centre South Blvd Ste 30, Aiken, SC 29803 Phone: 803-761-9191 Fax: 803-873-9984 | |
Douglas E Holford, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 410 University Pkwy, Suite 1000, Aiken, SC 29801 Phone: 803-644-4264 Fax: 803-649-0543 | |
Dr. Jacob Allan Goodrich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 High Gate Loop, Aiken, SC 29803 Phone: 803-265-8117 Fax: 803-265-2502 | |
James J Hill Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 410 University Pkwy, Suite 100, Aiken, SC 29801 Phone: 803-644-4264 Fax: 803-649-0543 | |
Timothy J Shannon, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy, Suite 1000, Aiken, SC 29801 Phone: 803-644-4264 Fax: 803-649-0543 |