| Dr Vicky Marie Moe, MD | |
|
345 10th Ave, Granite Falls, MN 56241-1442 | |
| (320) 564-6200 | |
| (320) 313-3386 |
| Full Name | Dr Vicky Marie Moe |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 345 10th Ave, Granite Falls, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265662431 | NPI | - | NPPES |
| 1265662431 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53724 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown Regional Medical Center | Reno, NV | Hospital |
| Saint Mary's Regional Medical Center | Reno, NV | Hospital |
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Medical Group Hicks Pc | 4385059625 | 31 |
| Entity Name | Saint Marys Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538424239 PECOS PAC ID: 7618113523 Enrollment ID: O20130422000013 |
| Entity Name | Pinnacle Medical Group Hicks Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548869381 PECOS PAC ID: 4385059625 Enrollment ID: O20210218000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vicky Marie Moe, MD 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-6200 | Dr Vicky Marie Moe, MD 345 10th Ave, Granite Falls, MN 56241-1442 Ph: (320) 564-6200 |
Dr. Darrell L Carter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 295 10th Ave, Granite Falls, MN 56241 Phone: 320-564-2511 Fax: 320-564-2511 | |
Dr. Mark Wendell Eakes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 295 10th Ave, Granite Falls, MN 56241 Phone: 320-564-2511 | |
Dr. Arthur J Rillo, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 295 10th Ave, Granite Falls, MN 56241 Phone: 320-564-2511 Fax: 320-564-2511 | |
Rosa Esmeralda Rios Avendano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 10th Ave, Granite Falls, MN 56241 Phone: 320-564-3111 | |
Taylor Noelle Bradshaw, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 10th Ave, Granite Falls, MN 56241 Phone: 320-564-6200 |