| Jack C Moore Ii, MD | |
|
175 S English Station Rd Ste 226, Louisville, KY 40245 | |
| (502) 244-0911 | |
| (502) 253-0581 |
| Full Name | Jack C Moore Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 175 S English Station Rd Ste 226, Louisville, Kentucky |
| 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 |
|---|---|---|---|
| 1164443529 | NPI | - | NPPES |
| P01073440 | Other | KY | MEDICARE RAILROAD |
| 64040173 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34365 (Kentucky) | Primary |
| 207Q00000X | Family Medicine | 01069727A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack C Moore Ii, MD 100 E Liberty St Ste 800, Louisville, KY 40202-1428 Ph: (502) 244-0911 | Jack C Moore Ii, MD 175 S English Station Rd Ste 226, Louisville, KY 40245 Ph: (502) 244-0911 |
Jaivanti Lohano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-778-3499 | |
John L Markert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste 2265, Louisville, KY 40217 Phone: 502-635-7455 Fax: 502-634-9296 | |
Dr. Jerry Randolph Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3015 Wilson Ave, Park Duvalle Cnc, Louisville, KY 40211 Phone: 502-774-4401 Fax: 502-772-4783 | |
Dr. Jill Marie Jacobs, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8019 Dixie Hwy Ste 101, Louisville, KY 40258 Phone: 502-254-3898 | |
Dr. Paul Clint Bricker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Dutchmans Ln, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-688-6024 | |
Michael James Gaffney, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3532 Ephraim Mcdowell Drive, Louisville, KY 40205 Phone: 502-456-6200 Fax: 502-456-6655 | |
Veronica Anne Kavorkian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Chamberlain Ln, Louisville, KY 40245 Phone: 502-243-9044 Fax: 502-243-8482 |