| Mr Robert T Moosally, DO | |
|
667 Eastland Ave Se, Warren, OH 44484-4503 | |
| (330) 841-4000 | |
| (330) 841-4007 |
| Full Name | Mr Robert T Moosally |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 667 Eastland Ave Se, Warren, Ohio |
| 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 |
|---|---|---|---|
| 1013993419 | NPI | - | NPPES |
| 000000385522 | Other | OH | ANTHEM |
| 2374989 | Medicaid | OH | |
| 001965500-0003 | Other | OH | PENNSYLVANIA MEDICAID |
| 000000383091 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34007710 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mves Boardman Llc | 4688694722 | 30 |
| Entity Name | 4m Emergency Systems Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932152584 PECOS PAC ID: 7719882182 Enrollment ID: O20031201000099 |
| Entity Name | Physicians Link Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172925 PECOS PAC ID: 8527969492 Enrollment ID: O20040405000838 |
| Entity Name | Mahoning Valley Emergency Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869652 PECOS PAC ID: 5698758993 Enrollment ID: O20040609000114 |
| Entity Name | Mves Austintown Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972555944 PECOS PAC ID: 1355308875 Enrollment ID: O20041216000550 |
| Entity Name | Mves Boardman Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205888237 PECOS PAC ID: 4688694722 Enrollment ID: O20051202000794 |
| Entity Name | 4m Emergency Systems Tod Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902859556 PECOS PAC ID: 3173547593 Enrollment ID: O20060124000548 |
| Entity Name | Magis Emergency Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801287511 PECOS PAC ID: 2769700392 Enrollment ID: O20150410002555 |
| Entity Name | Steward Emergency Physicians Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124501861 PECOS PAC ID: 1951645167 Enrollment ID: O20181128003465 |
| Entity Name | Ohio Pain & Rehabilitation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326227471 PECOS PAC ID: 5294061040 Enrollment ID: O20190731002654 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert T Moosally, DO 5700 Darrow Rd, Ste 106, Hudson, OH 44236-5021 Ph: (330) 656-5911 | Mr Robert T Moosally, DO 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4000 |
Dr. Roy John Sartori, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-2378 Fax: 330-841-4667 | |
Dr. Thomas Daniel Gifford, D.O, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4029 Fax: 330-841-4028 | |
Kyle Hartman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4774 | |
Deana Kimes, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1924 E Market St, Warren, OH 44483 Phone: 513-834-7063 Fax: 513-873-1567 | |
Kaylinn Dokken, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9011 | |
Dr. Jill Lynne Stefanucci-uberti, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4029 |