| Dr Jeremy Patrick Moore, MD | |
| 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (571) 231-2641 | |
| Not Available | 
| Full Name | Dr Jeremy Patrick Moore | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 9300 Dewitt Loop, Fort Belvoir, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295877140 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 0101240372 (Virginia) | Primary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 0101240372 (Virginia) | Secondary | 
| Entity Name | First Colonies Anesthesia Associates, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040607001456 | 
| Entity Name | Anesthesia Company Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871548156 PECOS PAC ID: 4587559026 Enrollment ID: O20180522001908 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jeremy Patrick Moore, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-2641 | Dr Jeremy Patrick Moore, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-2641 | 
| Dr. Shuyan Huang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
| Alexander Frazier Kulze, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 715-231-4611 | |
| Dr. Sara Dryden Jones, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-279-1599 | |
| Sarah Schmidt Cooper, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-4564 | |
| Benjamin Ficke,  Anesthesiology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Alexander T. Augusta Military Medical Center, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
| Kristan Michelle Baird, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 989-980-0280 |