| Harold Moores Iii, MD | |
|
440 Cobb St, Cadillac, MI 49601-2542 | |
| (231) 775-6076 | |
| (231) 775-0027 |
| Full Name | Harold Moores Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 440 Cobb St, Cadillac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013975085 | NPI | - | NPPES |
| 104400127 | Medicaid | MI | |
| 0F71000 | Other | MI | BCBS |
| 104134503 | Medicaid | MI | |
| 104744745 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301057697 (Michigan) | Primary |
| Entity Name | Ecs Western Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Harold Moores Iii, MD Po Box 271, Cadillac, MI 49601-0271 Ph: (231) 775-6076 | Harold Moores Iii, MD 440 Cobb St, Cadillac, MI 49601-2542 Ph: (231) 775-6076 |
Jeffrey Cole Haggard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7245 | |
Allan Linord Kennedy, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7245 Fax: 231-876-7625 | |
Robert Floyd Kowalski, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7245 | |
Justin W Verville, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hobart St, Cadillac, MI 49601 Phone: 231-876-7200 |