| Duane Moore, MD | |
|
3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 | |
| (314) 577-8776 | |
| (314) 268-5697 |
| Full Name | Duane Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 24 Years |
| Location | 3635 Vista Ave, Saint Louis, Missouri |
| 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 |
|---|---|---|---|
| 1700973435 | NPI | - | NPPES |
| P00273332 | Other | MO | RR MEDICARE |
| 207197302 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036136007 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 2005011345 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Christian Hospital Northeast-northwest | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 92 |
| Emergency Services Midwest Sc | 2769746056 | 37 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Southeastern Emergency Physicians of Memphis LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
| Entity Name | Emergency Services Midwest SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174024806 PECOS PAC ID: 2769746056 Enrollment ID: O20180515000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Duane Moore, MD 3691 Rutger St, Provider Enrollment, Saint Louis, MO 63110-2515 Ph: (314) 977-6828 | Duane Moore, MD 3635 Vista Ave, West Pavilion, Room 315, Saint Louis, MO 63110-2539 Ph: (314) 577-8776 |
Sean Oliver Cavanaugh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110 Phone: 314-362-9177 |
John Verhey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 |
Dr. Mackenzie Ann Mcknight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-9177 |
Nagla Abdelmalek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 |
Dr. Jose I Alvarez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6150 Oakland Ave, Saint Louis, MO 63139 Phone: 314-768-3090 Fax: 314-768-3031 |
Rahul Gupta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1906 |
Dr. Opeolu Makanju Adeoye, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Emergency Med, Saint Louis, MO 63110 Phone: 314-362-9123 Fax: 314-362-0478 |