| Lee S Moore, MD | |
|
320 N Oak Ave, Cookeville, TN 38501-2440 | |
| (931) 528-5547 | |
| (931) 526-2699 |
| Full Name | Lee S Moore |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 320 N Oak Ave, Cookeville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508859166 | NPI | - | NPPES |
| 3378641 | Medicaid | TN | |
| 340011880 | Other | TN | RAILROAD MEDICARE |
| 6524763 | Other | TN | CIGNA HEALTHCARE |
| 94833 | Other | TN | BLUE CROSS BLUE SHEILD |
| 1940006 | Other | TN | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD15695 (Tennessee) | Primary |
| Entity Name | Cookeville Regional Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649202102 PECOS PAC ID: 8325092638 Enrollment ID: O20050309000874 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee S Moore, MD 140 W 7th St, Cookeville, TN 38501-1726 Ph: (931) 783-5582 | Lee S Moore, MD 320 N Oak Ave, Cookeville, TN 38501-2440 Ph: (931) 528-5547 |
Dr. Charles T Womack Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 320 N Oak Ave, Cookeville, TN 38501 Phone: 931-528-5547 Fax: 931-526-2699 | |
Ricky Allen Smith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 320 N Oak Ave, Cookeville, TN 38501 Phone: 931-783-4103 | |
Dr. Timothy Ray Collins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 254 W 7th St, Cookeville, TN 38501 Phone: 931-520-6270 Fax: 931-520-6286 | |
Dr. Stephen V Goryl, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 320 N Oak Ave, Cookeville, TN 38501 Phone: 931-528-5547 Fax: 931-526-2699 | |
Joshua Hunter Lambert, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 320 N Oak Ave, Cookeville, TN 38501 Phone: 931-783-4103 Fax: 931-783-4195 | |
Jason Donald Easterday, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 320 N Oak Ave, Cookeville, TN 38501 Phone: 931-781-4103 Fax: 931-526-6760 |