| Donna R Moyer, DO | |
|
1375 N Main St, Lapeer, MI 48446-1350 | |
| (810) 667-5500 | |
| Not Available |
| Full Name | Donna R Moyer |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 1375 N Main St, Lapeer, Michigan |
| 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 |
|---|---|---|---|
| 1629001714 | NPI | - | NPPES |
| CA3518 | Other | MI | MEDICARE RR GROUP PIN |
| 300111755 | Other | MI | RRMC |
| 310D460020 | Other | MI | BCBS GROUP PIN |
| 4095728 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101010638 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Spirit Hospital | Camp hill, PA | Hospital |
| Pinnacle Health Hospitals | Harrisburg, PA | Hospital |
| Upmc Pinnacle Hanover | Hanover, PA | Hospital |
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Upmc Memorial | York, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quantum Imaging And Therapeutic Associates Inc | 1355254129 | 79 |
| Quantum Imaging And Therapeutic Associates Inc | 1355254129 | 79 |
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Quantum Imaging & Therapeutic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609863893 PECOS PAC ID: 1355254129 Enrollment ID: O20230309000952 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna R Moyer, DO Po Box 32627, Detroit, MI 48232-0627 Ph: (866) 744-1452 | Donna R Moyer, DO 1375 N Main St, Lapeer, MI 48446-1350 Ph: (810) 667-5500 |
Dr. Ronald A Sparschu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3273 Davison Rd Ste 3, Lapeer, MI 48446 Phone: 810-245-5675 Fax: 810-235-6650 | |
Reese James, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5744 Fax: 810-667-5741 | |
Leighton Ms Lum, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Mr. Eduard Volfovitch Kotlyarov, MD Radiology Medicare: Medicare Enrolled Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 |