| Dr Jack W Moore, MD | |
|
4715 Whitesburg Dr S, Huntsville, AL 35802-1632 | |
| (256) 881-5151 | |
| (256) 880-3939 |
| Full Name | Dr Jack W Moore |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 32 Years |
| Location | 4715 Whitesburg Dr S, Huntsville, Alabama |
| 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 |
|---|---|---|---|
| 1235170812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 21750 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crestwood Medical Center | Huntsville, AL | Hospital |
| Athens Limestone Hospital | Athens, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportsmed Orthopaedic Specialists | 7214903723 | 83 |
| Entity Name | Sportsmed Orthopaedic Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508947839 PECOS PAC ID: 7214903723 Enrollment ID: O20040907000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack W Moore, MD 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 Ph: (256) 881-5151 | Dr Jack W Moore, MD 4715 Whitesburg Dr S, Huntsville, AL 35802-1632 Ph: (256) 881-5151 |
Dr. Mark A Leberte, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St, Huntsville, AL 25801 Phone: 256-539-2728 Fax: 256-428-3423 | |
Sudhakar G. Madanagopal, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-539-2666 | |
Dr. James Turner Hughey Iii, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-539-2666 | |
Dr. Heather Leigh Licht, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 | |
Dr. Zachary Andrew Mosher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4715 Whitesburg Dr Se, Huntsville, AL 35802 Phone: 256-881-5151 Fax: 256-880-3939 | |
Dr. Michael E Miller, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 927 Franklin St Se, Huntsville, AL 35801 Phone: 256-539-2728 Fax: 256-428-3423 | |
Dr. Randall J Tindell, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4715 Whitesburg Dr Se, Huntsville, AL 35802 Phone: 256-881-5151 Fax: 256-880-3939 |