| I Elaine Moore, MD | |
|
311 8th Ave, Saint Albans, WV 25177 | |
| (304) 807-5131 | |
| Not Available |
| Full Name | I Elaine Moore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 311 8th Ave, Saint Albans, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083636377 | NPI | - | NPPES |
| 0043622000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15837 (West Virginia) | Primary |
| Entity Name | St George Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497853600 PECOS PAC ID: 7911996244 Enrollment ID: O20040511000664 |
| Mailing Address | Practice Location Address |
|---|---|
| I Elaine Moore, MD 311 8th Ave, Saint Albans, WV 25177-2855 Ph: (304) 807-5131 | I Elaine Moore, MD 311 8th Ave, Saint Albans, WV 25177 Ph: (304) 807-5131 |
Sarah Ann Conn, APRN, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 6th Ave, Saint Albans, WV 25177 Phone: 304-721-9300 Fax: 304-459-2873 | |
Dr. Amy Dale Casto, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 612 5th St., Saint Albans, WV 25177 Phone: 304-729-0015 | |
Rita Ramesh Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 | |
Dr. Shannon Leigh Carpenter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 Kanawha Ter, Saint Albans, WV 25177 Phone: 304-201-1130 Fax: 304-201-1134 |