| Dr Donald Wilson Moore, MD | |
|
401 W Decatur St, Madison, NC 27025-1913 | |
| (336) 548-9618 | |
| (336) 548-4877 |
| Full Name | Dr Donald Wilson Moore |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 401 W Decatur St, Madison, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831170919 | NPI | - | NPPES |
| 1831170919 | Other | NC | BLUE MEDICARE |
| 1831170919 | Other | NC | HUMANA |
| 1831170919 | Other | NC | AETNA |
| 1831170919 | Other | NC | NC BLUE CROSS |
| 202297D | Other | NC | MEDICARE |
| 8960207 | Medicaid | NC | |
| 1831170919 | Other | NC | UNITED HEALTHCARE |
| 1831170919 | Other | NC | COVENTRY |
| 1831170919 | Other | NC | COMMERCIAL |
| 1831170919 | Other | NC | AARP MEDICARE COMPLETE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24121 (North Carolina) | Primary |
| Entity Name | Moses Cone Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427095249 PECOS PAC ID: 2769395458 Enrollment ID: O20060609000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Donald Wilson Moore, MD 1200 N Elm St, Greensboro, NC 27401-1004 Ph: (336) 832-7000 | Dr Donald Wilson Moore, MD 401 W Decatur St, Madison, NC 27025-1913 Ph: (336) 548-9618 |
Joshua A Dettinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 W Decatur St, Madison, NC 27025 Phone: 336-548-9618 | |
Dr. Leonard Robert Nyland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 723 Ayersville Rd, Madison, NC 27025 Phone: 336-427-0281 |