| Dr Micah Robert Moore, DO | |
|
400 N Jefferson St, Lewisburg, WV 24901 | |
| (304) 645-3220 | |
| (304) 647-1273 |
| Full Name | Dr Micah Robert Moore |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 400 N Jefferson St, Lewisburg, West Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346770872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3323 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 3323 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hospice Llc | Rock hill, SC | Hospice |
| Piedmont Medical Center | Rock hill, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Hospitalist Services Pc | 3476855420 | 301 |
| Providence House Calls Llc | 1759528250 | 20 |
| Entity Name | Providence House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689912495 PECOS PAC ID: 1759528250 Enrollment ID: O20130430000366 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Micah Robert Moore, DO 1320 Maplewood Ave, Ronceverte, WV 24970-8016 Ph: () - | Dr Micah Robert Moore, DO 400 N Jefferson St, Lewisburg, WV 24901 Ph: (304) 645-3220 |
Jennifer Nicole Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
Theresa Katherine Stepanek, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 | |
James Yi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-647-1372 | |
George F Boxwell, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Christopher Paul Kennedy, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 | |
Thomas F Steele, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Jefferson St, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 304-645-4103 | |
Zachary J Comeaux, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1464 Jefferson St N, Lewisburg, WV 24901 Phone: 304-645-3220 Fax: 844-479-4545 |