| David Moore, MD | |
|
6282 Edgecreek Ln, Columbus, OH 43231-7645 | |
| (810) 728-2686 | |
| Not Available |
| Full Name | David Moore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 6282 Edgecreek Ln, Columbus, Ohio |
| 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 |
|---|---|---|---|
| 1346503349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301108818 (Michigan) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Coverage Services Pc | 3678536398 | 27 |
| Comprehensive Medical Group Pc | 6305019514 | 2 |
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691 |
| Entity Name | Physician Coverage Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669567806 PECOS PAC ID: 3678536398 Enrollment ID: O20041104000433 |
| Entity Name | Comprehensive Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588945091 PECOS PAC ID: 6305019514 Enrollment ID: O20111103000819 |
| Mailing Address | Practice Location Address |
|---|---|
| David Moore, MD 1401 W North St, Jackson, MI 49202-3135 Ph: (810) 728-2686 | David Moore, MD 6282 Edgecreek Ln, Columbus, OH 43231-7645 Ph: (810) 728-2686 |
Dr. Krisanna Lee Deppen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 393 E Town St Ste 116, Columbus, OH 43215 Phone: 614-566-9108 Fax: 614-566-8737 | |
Dr. Teresa Thuanh Phan, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 41 S High St, Suite 25, Columbus, OH 43215 Phone: 614-533-6700 Fax: 614-224-8562 | |
Abid I Rana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4871 Sawmill Rd, Columbus, OH 43235 Phone: 614-315-1664 Fax: 740-531-9002 | |
Dr. Anne Marie Kessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 332 E State St, Columbus, OH 43215 Phone: 614-788-5400 Fax: 614-788-5500 | |
Labronz C Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2872 W Broad St, Columbus, OH 43204 Phone: 614-279-9905 Fax: 614-279-0213 | |
Dana S Vallangeon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 524b W Broad St, Columbus, OH 43215 Phone: 614-225-0990 Fax: 614-225-0988 | |
Scott H Merryman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3773 Olentangy River Rd, Columbus, OH 43214 Phone: 614-566-5356 Fax: 614-566-3835 |