| Merwin B Moore, MD | |
|
639 Broadmoor Circle, Mountain Home, AR 72653 | |
| (870) 424-4710 | |
| (870) 424-4780 |
| Full Name | Merwin B Moore |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 639 Broadmoor Circle, Mountain Home, Arkansas |
| 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 |
|---|---|---|---|
| 1386617561 | NPI | - | NPPES |
| 5H201 | Other | AR | BCBS - ARKANSAS |
| 154348001 | Medicaid | AR | |
| 209057108 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2003027560 (Missouri) | Secondary |
| 207X00000X | Orthopaedic Surgery | E5667 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Ozarks Medical Center | West plains, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639472830 PECOS PAC ID: 0042389264 Enrollment ID: O20110222000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Merwin B Moore, MD 639 Broadmoor Circle, Mountain Home, AR 72653 Ph: (870) 424-4710 | Merwin B Moore, MD 639 Broadmoor Circle, Mountain Home, AR 72653 Ph: (870) 424-4710 |
Dr. Thomas E Knox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plz, Mountain Home, AR 72653 Phone: 870-424-3400 Fax: 870-424-4121 | |
Russell B. Rauls, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plz, Mountain Home, AR 72653 Phone: 870-424-3400 Fax: 870-424-4121 | |
Nicholas Souder, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plz, Mountain Home, AR 72653 Phone: 870-424-3400 Fax: 870-424-4121 | |
Dr. Jason P Mcconnell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plz, Mountain Home, AR 72653 Phone: 870-424-3400 Fax: 870-424-4121 |