Dr Randy Lee Moore, DO | |
2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1201 | |
(541) 673-2267 | |
(541) 672-9483 |
Full Name | Dr Randy Lee Moore |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 37 Years |
Location | 2880 Nw Stewart Pkwy Ste 100, Roseburg, Oregon |
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 |
---|---|---|---|
1508813817 | NPI | - | NPPES |
026535 | Medicaid | OR | |
016146005 | Other | OR | BCBS |
16753 | Medicaid | ND | |
P00332817 | Other | OR | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0203X | Radiology - Therapeutic Radiology | 28947 (Colorado) | Secondary |
2085R0001X | Radiology - Radiation Oncology | DO26902 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Cancer Foundation | 1951345347 | 4 |
Entity Name | Bay Area Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
Entity Name | Community Cancer Foundation |
---|---|
Entity Type | Part B Supplier - Radiation Therapy Center |
Entity Identifiers | NPI Number: 1457351991 PECOS PAC ID: 1951345347 Enrollment ID: O20080625000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy Lee Moore, DO Po Box 833, Winchester, OR 97495-0833 Ph: (541) 673-2267 | Dr Randy Lee Moore, DO 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471-1201 Ph: (541) 673-2267 |
David G Seibel, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 2028 Fisher Rd, Roseburg, OR 97470 Phone: 541-673-7615 | |
John Mccaffrey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97470 Phone: 541-440-1000 | |
Michael L Brown, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2880 Nw Stewart Pkwy, Suite 100, Roseburg, OR 97471 Phone: 541-673-2267 | |
Dr. Sylvia K Gosline, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 148 N River Dr, Roseburg, OR 97470 Phone: 541-672-5542 Fax: 541-672-7798 | |
Jerry G Warren, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 621 Se Cass Ave, Suite 126, Roseburg, OR 97470 Phone: 541-580-0304 | |
Kenneth L Linden, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1887 W Harvard Ave, Roseburg, OR 97470 Phone: 541-673-4303 Fax: 541-440-9739 |