| Dr Fletcher Brady Moore, MD | |
|
834 Sheridan St, Port Townsend, WA 98368-2443 | |
| (360) 385-2200 | |
| Not Available |
| Full Name | Dr Fletcher Brady Moore |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 834 Sheridan St, Port Townsend, Washington |
| 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 |
|---|---|---|---|
| 1851778674 | NPI | - | NPPES |
| 086220957 | Medicaid | DC | |
| 2334210 | Medicaid | WA | |
| 184182300 | Medicaid | MD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Osf Sacred Heart Medical Center | Danville, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cira Michigan Pc | 7113355264 | 36 |
| Central Illinois Radiological Associates Ltd | 9436061827 | 162 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Entity Name | Cira Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972141513 PECOS PAC ID: 7113355264 Enrollment ID: O20211101000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fletcher Brady Moore, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Dr Fletcher Brady Moore, MD 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 |
Sabrina Prime, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 | |
Dr. Fernando E Lamas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 Fax: 360-379-2251 |