| Dr Terry Anthony Moran Jr, DO | |
|
1407 S Main St, Poplarville, MS 39470-3369 | |
| (601) 795-0659 | |
| (601) 579-5240 |
| Full Name | Dr Terry Anthony Moran Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 1407 S Main St, Poplarville, Mississippi |
| 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 |
|---|---|---|---|
| 1598269920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 27169 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 320935 (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | 27169 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pearl River County Hospital | Poplarville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Leake Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Anthony Moran Jr, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 795-0659 | Dr Terry Anthony Moran Jr, DO 1407 S Main St, Poplarville, MS 39470-3369 Ph: (601) 795-0659 |
Angela C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 | |
Elizabeth Catherine Jones, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 | |
Dr. Alexander Huff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 Highway 11 S, Poplarville, MS 39470 Phone: 601-403-8284 Fax: 601-403-8283 | |
Mrs. Cirila Reyes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 Phone: 601-795-9320 Fax: 601-795-9876 |