| Dr Scott Macleod Moore, MD | |
|
13699 Old Us 12, Chelsea, MI 48118 | |
| (734) 475-4500 | |
| (734) 475-4507 |
| Full Name | Dr Scott Macleod Moore |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 13699 Old Us 12, Chelsea, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497709513 | NPI | - | NPPES |
| 3508144121 | Other | MI | BCBS-INDIVIDUAL |
| 4689652 | Medicaid | MI | |
| 6U4708 | Other | HAP | |
| 024175 | Other | MI | MIDWEST HP-MEDICAID |
| 5526527 | Other | MI | AENTA |
| 201711014 | Other | MI | TRICARE |
| 1220066 | Other | MI | PHP |
| OH11422 | Other | BCBS/BCN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301073339 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Macleod Moore, MD 13699 Old Us 12, Chelsea, MI 48118 Ph: (734) 475-4500 | Dr Scott Macleod Moore, MD 13699 Old Us 12, Chelsea, MI 48118 Ph: (734) 475-4500 |
Mary Westhoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 | |
Dr. Susanna Lin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 | |
Gina South, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14288 E Old Us Hwy 12 Ste 100, Chelsea, MI 48118 Phone: 734-475-9175 | |
Tara L Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1513 S Main St, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 | |
Kylene Willsey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13699 E Old Us Highway 12, Chelsea, MI 48118 Phone: 734-475-4500 Fax: 734-475-4507 | |
Stephanie Meyer Tarnacki, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14288 E Old Us Highway 12 Ste 100, Chelsea, MI 48118 Phone: 734-475-9175 Fax: 734-475-0120 |