| Dr John T Moore, MD | |
|
127 Kings Hwy N, Westport, CT 06880-2422 | |
| (203) 846-2004 | |
| (203) 845-2166 |
| Full Name | Dr John T Moore |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 44 Years |
| Location | 127 Kings Hwy N, Westport, Connecticut |
| 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 |
|---|---|---|---|
| 1578626214 | NPI | - | NPPES |
| 026099 | Other | CT | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26099 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rushford Center Inc | 1153227756 | 22 |
| Entity Name | Midstate Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154425288 PECOS PAC ID: 7416840699 Enrollment ID: O20040203000244 |
| Entity Name | Rushford Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John T Moore, MD 40 Cross St, Suite 210, Norwalk, CT 06851-4647 Ph: (203) 846-2004 | Dr John T Moore, MD 127 Kings Hwy N, Westport, CT 06880-2422 Ph: (203) 846-2004 |
Kay L Cowan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-454-1520 | |
Snieguole Radzeviciene, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 47 Long Lots Rd, Westport, CT 06880 Phone: 203-227-1251 | |
Dr. Cornelia Lucia Gallo, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19 Compo Rd S, Westport, CT 06880 Phone: 203-226-3134 Fax: 203-259-4916 | |
Laila Imad Knio, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 47 Long Lots Rd, Westport, CT 06880 Phone: 203-227-1251 Fax: 203-226-8616 | |
Mr. Charles John Kallick, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12 Crooked Mile Rd, Westport, CT 06880 Phone: 203-226-3685 | |
Dr. Joseph Abel Russo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 177 Post Rd W, 2nd Floor, Westport, CT 06880 Phone: 203-227-9902 | |
Dr. Dennis D'arcy Banks, MD, JD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 225 North Main St., Westport, CT 06880 Phone: 203-520-3238 Fax: 631-907-4412 |