| Jeffrey Ryan Moore, | |
|
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
| (757) 953-3149 | |
| Not Available |
| Full Name | Jeffrey Ryan Moore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia |
| 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 |
|---|---|---|---|
| 1285907055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101254499 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Horizon Home Health | Meridian, ID | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Ryan Moore, Naval Hospital Twentynine Palms, 1145 Sturgis Rd, Twentynine Palms, CA 92278 Ph: (760) 830-2082 | Jeffrey Ryan Moore, 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-3149 |
Dr. Imtiaz Zaman, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 805 Rodman Ave, Portsmouth, VA 23707 Phone: 757-399-1970 Fax: 757-436-3460 | |
Dr. Sally Gene Tamayo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9804 Fax: 757-953-0811 | |
Dr. Stephen Alexander Koplin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Tyler Church, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone: 757-953-2266 | |
Dr. Robert J. Accettola, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3737 High St, Portsmouth, VA 23707 Phone: 757-686-9400 Fax: 757-686-9449 | |
Dr. Varea Costello, DO, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-3647 | |
Guenola Hunt, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1051 Fax: 757-953-1036 |