| Keith S Moore, MD | |
|
1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA 30342-1709 | |
| (404) 446-2800 | |
| (404) 446-2809 |
| Full Name | Keith S Moore |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 34 Years |
| Location | 1100 Johnson Fy Rd Ne, Atlanta, Georgia |
| 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 |
|---|---|---|---|
| 1154302784 | NPI | - | NPPES |
| 195354901 | Medicaid | TX | |
| 8G6219 | Other | TX | BC/BS TX# |
| P00614620 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M8850 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Vein Restoration Ga Corp | 8527478742 | 5 |
| Entity Name | Center For Vein Restoration Ga Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902423387 PECOS PAC ID: 8527478742 Enrollment ID: O20201029000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith S Moore, MD 1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA 30342-1709 Ph: (404) 446-2800 | Keith S Moore, MD 1100 Johnson Fy Rd Ne, Suite 165, Atlanta, GA 30342-1709 Ph: (404) 446-2800 |
Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 | |
John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033 | |
Marlieke E Nussenbaum, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327 | |
Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Vanessa Arientyl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423 | |
Ryon Lamont Arrington, MD, MBA Surgery Medicare: Medicare Enrolled Practice Location: 100 Woodruff Cir Ne, Atlanta, GA 30322 Phone: 404-727-4018 |