| Marcia Monroe Moore, MD | |
|
4140 W Memorial Rd, Ste 408, Oklahoma City, OK 73120-8300 | |
| (580) 436-3980 | |
| (580) 421-6205 |
| Full Name | Marcia Monroe Moore |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 39 Years |
| Location | 4140 W Memorial Rd, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760554521 | NPI | - | NPPES |
| 206304701 | Medicaid | MO | |
| P00390780 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 28726 (Oklahoma) | Secondary |
| 208600000X | Surgery | 2003031471 (Missouri) | Secondary |
| 208600000X | Surgery | DR.0067559 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sterling Regional Medcenter | Sterling, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health Physicians Colorado Llc | 8921273038 | 267 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Monroe Moore, MD 1 Mercado St Ste 220, Durango, CO 81301-7310 Ph: (970) 764-3450 | Marcia Monroe Moore, MD 4140 W Memorial Rd, Ste 408, Oklahoma City, OK 73120-8300 Ph: (580) 436-3980 |
Dr. Beverly Jean Talbert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St, Oupb5350, Oklahoma City, OK 73104 Phone: 405-271-4864 Fax: 405-271-1643 | |
Justin Van Hoorebeke, MD Surgery Medicare: Medicare Enrolled Practice Location: 825 Ne 10th St # Street1g, Oklahoma City, OK 73104 Phone: 405-271-2220 | |
Michael Taylor Heath, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308 | |
Dr. Teresa Marie Shavney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 | |
Dr. Mary Kathleen Lindemuth, MD Surgery Medicare: Medicare Enrolled Practice Location: 10900 Hefner Pointe Dr, Oklahoma City, OK 73120 Phone: 405-552-0400 Fax: 405-752-4251 | |
Stephen Thomas Mahoney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 800, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 | |
Garrett Neal Klutts, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120 Phone: 405-608-3800 Fax: 405-981-2092 |