| Mr Bradley T Moore, DO | |
|
2662 King Kelly Coleman Hwy, Wayland, KY 41666-8321 | |
| (606) 358-4211 | |
| (606) 358-4215 |
| Full Name | Mr Bradley T Moore |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 2662 King Kelly Coleman Hwy, Wayland, Kentucky |
| 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 |
|---|---|---|---|
| 1629062807 | NPI | - | NPPES |
| 64106719 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02916 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highlands Arh Home Health | Prestonsburg, KY | Home health agency |
| Hospice Of The Bluegrass, Inc. | Hazard, KY | Hospice |
| Mcdowell Arh Hospital | Mc dowell, KY | Hospital |
| Arh Our Lady Of The Way | Martin, KY | Hospital |
| Arh Our Lady Of The Way | Martin, KY | Nursing home |
| Mcdowell Arh Hospital | Mc dowell, KY | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Regional Healthcare Inc | 0840107835 | 301 |
| Arh Mary Breckinridge Health Services, Inc. | 8123293818 | 87 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417045998 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
| Entity Name | Appalachian Regional Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861671117 PECOS PAC ID: 0840107835 Enrollment ID: O20080303000476 |
| Entity Name | Arh Mary Breckinridge Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073898102 PECOS PAC ID: 8123293818 Enrollment ID: O20121003000026 |
| Entity Name | Arh Mary Breckinridge Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306339460 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
| Entity Name | Arh Tug Valley Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588328967 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley T Moore, DO 2662 King Kelly Coleman Hwy, Wayland, KY 41666-8321 Ph: (606) 358-4211 | Mr Bradley T Moore, DO 2662 King Kelly Coleman Hwy, Wayland, KY 41666-8321 Ph: (606) 358-4211 |