| Jacob Brooks Moore, PA-C | |
|
151 Du Rhu Dr Apt 4323, Mobile, AL 36608-1266 | |
| (256) 914-9700 | |
| Not Available |
| Full Name | Jacob Brooks Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 151 Du Rhu Dr Apt 4323, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1659103083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | PA.2684 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Alabama Regional Medical Center | Anniston, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Health Care Authority Of The City Of Anniston | 3971408923 | 41 |
| Entity Name | The Health Care Authority of the City of Anniston |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003996000 PECOS PAC ID: 3971408923 Enrollment ID: O20031203000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Brooks Moore, PA-C 53 Nicholas Cv, Oxford, AL 36203-3530 Ph: (256) 914-9700 | Jacob Brooks Moore, PA-C 151 Du Rhu Dr Apt 4323, Mobile, AL 36608-1266 Ph: (256) 914-9700 |
Zachary David Reardon, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 |
Selden Harbour Stephens Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 |
Mariarita Salvitti Fermin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-410-5437 |
Dr. Thomas W Coleman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Ste B111, Mobile, AL 36608 Phone: 251-378-3000 Fax: 251-378-3001 |
Dino Nicholas Frangos, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 |
Tarek I Lawen, Urology Medicare: Not Enrolled in Medicare Practice Location: 3290 Dauphin St Ste 301, Mobile, AL 36606 Phone: 251-660-5930 Fax: 251-660-5931 |
Guy Coleman Oswalt Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 168 Mobile Infirmary Blvd, Mobile, AL 36607 Phone: 251-433-1895 Fax: 251-433-1917 |