| Dr Ronald E Moore Jr, MD | |
|
2307 W Broward Blvd Ste 101, Fort Lauderdale, FL 33312-1420 | |
| (954) 797-4220 | |
| (754) 206-3688 |
| Full Name | Dr Ronald E Moore Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 2307 W Broward Blvd Ste 101, Fort Lauderdale, Florida |
| 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 |
|---|---|---|---|
| 1669542148 | NPI | - | NPPES |
| 274253500 | Medicaid | FL | |
| 71634 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME87976 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Broward Health Medical Center | Fort lauderdale, FL | Hospital |
| Mercyone North Iowa Medical Center | Mason city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Iowa Mercy Clinics | 7810809076 | 304 |
| South Florida Surgical Specialists Llc | 5799881660 | 91 |
| Covenant Medical Center Inc | 0244148732 | 234 |
| Entity Name | Covenant Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald E Moore Jr, MD Po Box 11705, Fort Lauderdale, FL 33339-1705 Ph: (954) 797-4220 | Dr Ronald E Moore Jr, MD 2307 W Broward Blvd Ste 101, Fort Lauderdale, FL 33312-1420 Ph: (954) 797-4220 |
Dr. Donald Ray Revis Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N Federal Hwy, Suite 301, Fort Lauderdale, FL 33305 Phone: 954-630-2009 Fax: 954-630-2094 |
Dr. Michael A. Perez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4800 Ne 20th Ter, 303, Fort Lauderdale, FL 33308 Phone: 954-351-7770 |
Vasana Cheanvechai, M.D., Surgery Medicare: Accepting Medicare Assignments Practice Location: 4800 Ne 20th Ter Ste 109, Fort Lauderdale, FL 33308 Phone: 954-338-3021 Fax: 954-357-1427 |
Mufaddal Ghadiali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 N Federal Hwy, Suite 402, Fort Lauderdale, FL 33308 Phone: 954-771-8888 Fax: 954-491-9485 |
Sanam Zahedi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 407 Se 24th St, Fort Lauderdale, FL 33316 Phone: 954-463-5208 Fax: 954-463-5288 |
Aaron Daniel Pinnola, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1940 Ne 47th St, Fort Lauderdale, FL 33308 Phone: 954-351-7770 Fax: 954-351-7181 |
Dr. Fermin Esteban Morales, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4701 N Federal Hwy Ste A39, Fort Lauderdale, FL 33308 Phone: 954-351-7770 Fax: 954-351-7181 |