| Elizabeth Ann Moore, MD | |
|
190 Handley Rd, Tyrone, GA 30290-2178 | |
| (770) 997-5714 | |
| (770) 997-2810 |
| Full Name | Elizabeth Ann Moore |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 190 Handley Rd, Tyrone, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073590485 | NPI | - | NPPES |
| 000753827D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | GA43434 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wmc Tyrone Llc | 7113090705 | 5 |
| Entity Name | Wmc Tyrone Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033132998 PECOS PAC ID: 7113090705 Enrollment ID: O20080715000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Moore, MD 190 Handley Rd, Ste A, Tyrone, GA 30290-2178 Ph: (770) 997-5714 | Elizabeth Ann Moore, MD 190 Handley Rd, Tyrone, GA 30290-2178 Ph: (770) 997-5714 |
Dr. Ekemini Ima Orok, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Jeshenna Jamill Watkins, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 | |
Dr. Peyton Garrett, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2844 | |
Patricia Moore, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 190 Handley Rd, Tyrone, GA 30290 Phone: 770-997-5714 Fax: 770-997-2810 | |
Kelly Jane Tipton, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 190 Handley Rd Ste A, Tyrone, GA 30290 Phone: 865-305-8787 | |
Ms. Ticaria Lynne Lipsey, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 190 Handley Rd, Suite A, Tyrone, GA 30290 Phone: 770-997-5714 |