| Jeffrey Keith Moore, MD | |
|
421 Chestnut St, Evansville, IN 47713-1227 | |
| (812) 426-9355 | |
| (812) 858-4539 |
| Full Name | Jeffrey Keith Moore |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 421 Chestnut St, Evansville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225105323 | NPI | - | NPPES |
| 000000109394 | Other | IN | ANTHEM |
| 64755457 | Other | KY | KY MEDICAID |
| 100078540 | Medicaid | IN | |
| 070005453 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 01029516 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Keith Moore, MD Po Box 3868, Evansville, IN 47737-3868 Ph: (812) 426-9355 | Jeffrey Keith Moore, MD 421 Chestnut St, Evansville, IN 47713-1227 Ph: (812) 426-9355 |
Jon C Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-426-9355 Fax: 812-858-4539 | |
Vanessa M Mischler, NP Dermatology Medicare: Medicare Enrolled Practice Location: 1212 Professional Blvd Ste B, Evansville, IN 47714 Phone: 812-401-9030 Fax: 812-401-9033 | |
Robert William Martin Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9355 Fax: 812-858-4539 | |
Dr. Shari Lyn Barrett, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3700 Bellemeade Ave, Suite 120, Evansville, IN 47714 Phone: 812-473-0200 Fax: 812-473-3640 | |
David Surprenant, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Se 4th St, Evansville, IN 47708 Phone: 812-463-4306 | |
Dr. Charles P Hudson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3501 Washington Ave, Evansville, IN 47714 Phone: 812-474-1234 Fax: 812-402-3636 |