Ethel Lamar Moore, MD is a
Family Medicine physician based in Harlem, Montana. Ethel Lamar Moore is licensed to practice in Arkansas (license number C 6449) and her current practice location is Rr 1 Box 67, Harlem, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 353-3100.
NPI number for Ethel Lamar Moore is 1053437079 and her current mailing address is Rr 1 Box 77, Harlem, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053437079.
Physician's Profile
| Full Name | Ethel Lamar Moore |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | Rr 1 Box 67, Harlem, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053437079
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 02/01/2008
Medical Identifiers
Medical identifiers for Ethel Lamar Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053437079 | NPI | - | NPPES |
| C-6449 | Other | AR | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C 6449 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethel Lamar Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethel Lamar Moore, MD
Rr 1 Box 77,
Harlem, MT 59526-9706
Ph: (406) 353-3137 | Ethel Lamar Moore, MD
Rr 1 Box 67,
Harlem, MT 59526-9705
Ph: (406) 353-3100 |
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