| Kenneth Moore, | |
|
2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | |
| (252) 443-8172 | |
| Not Available |
| Full Name | Kenneth Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 2460 Curtis Ellis Dr, Rocky Mount, North Carolina |
| 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 |
|---|---|---|---|
| 1215030465 | NPI | - | NPPES |
| 89135T6 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9800098 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Nash General Hospital | Rocky mount, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Emergency Physicians Pa | 9931002078 | 235 |
| Entity Name | Halifax Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992846570 PECOS PAC ID: 5496664062 Enrollment ID: O20031125000253 |
| Entity Name | Wake Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063387 PECOS PAC ID: 9931002078 Enrollment ID: O20040128000295 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Moore, Po Box 409540, Atlanta, GA 30384-9540 Ph: () - | Kenneth Moore, 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 Ph: (252) 443-8172 |
Aaron Rodney Cotten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3661 Sunset Ave, Suite 100, Rocky Mount, NC 27804 Phone: 844-521-3343 | |
Joseph Jacob Hummel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 Phone: 252-443-8172 | |
Sarah Colley-mangano, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 Phone: 252-443-8172 | |
Arun Manikumar, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 Phone: 252-443-8172 | |
Dr. Jefferson Dulin Phillips, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 Phone: 434-924-8485 | |
Gregory Solovieff, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2460 Curtis Ellis Dr, Rocky Mount, NC 27804 Phone: 252-443-8172 |