| Dr Patrice Moore, MD | |
|
1200 N Beaver St, Flagstaff, AZ 86001-3118 | |
| (928) 779-3366 | |
| Not Available |
| Full Name | Dr Patrice Moore |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 22 Years |
| Location | 1200 N Beaver St, Flagstaff, Arizona |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447394697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 67050 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 78485 (Arizona) | Primary |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrice Moore, MD 455 S Main St Ste 202, Hinesville, GA 31313-4354 Ph: (912) 877-2228 | Dr Patrice Moore, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 779-3366 |
Kathleen E Willard, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1150 N San Francisco St, Flagstaff, AZ 86001 Phone: 928-779-7840 Fax: 928-779-7895 | |
Dr. John Paul Graziano, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9400 | |
Paul Pearson Panasiuk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9400 | |
Audrey Jean Roberts, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1100 N San Francisco St Ste B, Flagstaff, AZ 86001 Phone: 928-779-7851 Fax: 928-213-9990 | |
Dr. Jennifer L. Graff, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 North San Francisco St., #b, Flagstaff, AZ 86001 Phone: 928-779-7854 Fax: 928-774-0508 | |
Dr. Caitlin Marie Marshall, DO, MPH Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1100 N San Francisco St Ste B, Flagstaff, AZ 86001 Phone: 928-779-7851 | |
Richard Kent Johansen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1100 N San Francisco St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-7851 Fax: 928-774-0508 |