| Dr Candice A Moore, MD | |
|
815 S Ash St, Nevada, MO 64772-3222 | |
| (417) 667-8352 | |
| Not Available |
| Full Name | Dr Candice A Moore |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 815 S Ash St, Nevada, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326013228 | NPI | - | NPPES |
| 200189009 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R6883 (Missouri) | Primary |
| Entity Name | Nevada City Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942283866 PECOS PAC ID: 9830095280 Enrollment ID: O20031208001009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Candice A Moore, MD Po Box 1547, Sedalia, MO 65302-1547 Ph: () - | Dr Candice A Moore, MD 815 S Ash St, Nevada, MO 64772-3222 Ph: (417) 667-8352 |
Dr. Abdul Mateen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 | |
Mohammad A Rasheed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071 | |
Dr. Azmi Ramin Jahan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-448-5623 | |
Vernon Kent Cooper, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 S Ash St, Nevada, MO 64772 Phone: 417-448-3642 Fax: 417-448-3641 |