| Jonathan Moore, | |
|
200 Clinic Dr, Madisonville, KY 42431 | |
| (270) 825-6688 | |
| (270) 825-7266 |
| Full Name | Jonathan Moore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 200 Clinic Dr, Madisonville, 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 |
|---|---|---|---|
| 1780095729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49744 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Paducah | Paducah, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Moore, 2501 Kentucky Ave, Paducah, KY 42003-3813 Ph: () - | Jonathan Moore, 200 Clinic Dr, Madisonville, KY 42431 Ph: (270) 825-6688 |
Kristin Wickham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Robert G. Holzknecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 | |
Richard G King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-7200 | |
Catherine S Montz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5646 Fax: 270-825-5648 | |
Michael Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Madison Square Dr Ste C, Madisonville, KY 42431 Phone: 270-821-6262 | |
Robert Lamont Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 | |
Marium Iqbal, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6680 Fax: 270-825-7266 |