| Jonathan Houston Moore, MD | |
|
2300 12th St, Meridian, MS 39301-3933 | |
| (601) 483-2616 | |
| (601) 485-7282 |
| Full Name | Jonathan Houston Moore |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 25 Years |
| Location | 2300 12th St, Meridian, Mississippi |
| 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 |
|---|---|---|---|
| 1588762223 | NPI | - | NPPES |
| 17674 | Other | MS | STATE MEDICAL LISCENSE |
| 03435769 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 17674 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meridian Ophthalmic Associates, P.a. | 4789659772 | 2 |
| Entity Name | Meridian Ophthalmic Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548380835 PECOS PAC ID: 4789659772 Enrollment ID: O20040901000990 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Houston Moore, MD 2300 12th St, Meridian, MS 39301-3933 Ph: (601) 483-2616 | Jonathan Houston Moore, MD 2300 12th St, Meridian, MS 39301-3933 Ph: (601) 483-2616 |
Dr. Jeffrey Nelson Cook, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St, Ste 5d, Meridian, MS 39301 Phone: 601-553-2100 Fax: 601-553-2104 | |
Perry Jay Goodman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2300 12th St, Meridian, MS 39301 Phone: 601-483-2616 Fax: 601-485-7282 | |
Thurman Keith Everett, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2300 12th St, Meridian, MS 39301 Phone: 601-483-2616 Fax: 601-485-7282 | |
Dr. John Lawrence Mason Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1301 20th Ave, Meridian, MS 39301 Phone: 601-485-2368 Fax: 601-693-2174 | |
Dr. Don E Marascalco, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1301 20th Ave, Meridian, MS 39301 Phone: 601-485-2368 Fax: 601-693-2174 |