| Dr Jason L Moore, MD | |
|
45 10th St W, Saint Paul, MN 55102-1062 | |
| (651) 232-3000 | |
| Not Available |
| Full Name | Dr Jason L Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 45 10th St W, Saint Paul, Minnesota |
| 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 |
|---|---|---|---|
| 1720049109 | NPI | - | NPPES |
| 104715823 | Medicaid | MI | |
| 104785416 | Medicaid | MI | |
| 104785425 | Medicaid | MI | |
| JM080458 | Other | MI | BC/BS OF MI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Clinton Medical Center | Clinton, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Emergency Services Llc | 3678837580 | 8 |
| Entity Name | Iowa Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821591454 PECOS PAC ID: 3678837580 Enrollment ID: O20180501000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason L Moore, MD 27400 Franklin Rd, #b707, Southfield, MI 48034-2358 Ph: () - | Dr Jason L Moore, MD 45 10th St W, Saint Paul, MN 55102-1062 Ph: (651) 232-3000 |
Dr. Katherine Glasrud, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 612-863-6590 | |
Dr. Brian Thomas Gooley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 | |
Samantha Anne Wen, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102 Phone: 612-241-8755 | |
Benjamin J Peake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3666 | |
Dr. Andrew Richard Zinkel, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101 Phone: 651-254-5211 Fax: 651-254-5216 | |
Emily M Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-853-8800 Fax: 651-293-8106 | |
Sarah Ricker, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 |