| Dr Michael Benjamin Moore, DO | |
|
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-3689 | |
| (253) 968-1340 | |
| Not Available |
| Full Name | Dr Michael Benjamin Moore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington |
| 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 |
|---|---|---|---|
| 1538110911 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Hospital | Chewelah, WA | Hospital |
| Lincoln Hospital | Davenport, WA | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 1815 |
| Providence Health And Services - Wa | 9739249350 | 10 |
| Indigo Idaho Services, Llc | 1850750373 | 9 |
| Lincoln County Hospital District 3 | 3971591199 | 19 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Public Hospital District No 3 Of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922009448 PECOS PAC ID: 7719875020 Enrollment ID: O20040309000090 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841442332 PECOS PAC ID: 3577623115 Enrollment ID: O20090130000176 |
| Entity Name | Providence Health & Services - Wa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902058399 PECOS PAC ID: 9739249350 Enrollment ID: O20090318000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Benjamin Moore, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-3689 Ph: (253) 968-1340 | Dr Michael Benjamin Moore, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-3689 Ph: (253) 968-1340 |
Dr. Matthew Christopher Miller, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Mr. Ross Connor Candelore, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Andrew Brigg, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-363-2300 | |
Nicholas Derfler, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Jonathan Stuart, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110 | |
Paul Freeman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Brandon Lee, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1511 |