| Ms Mariah T Moore, MD | |
|
300 Commercial Dr, Alexandria, KY 41001-2107 | |
| (859) 635-9440 | |
| (859) 448-2622 |
| Full Name | Ms Mariah T Moore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 300 Commercial Dr, Alexandria, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851954390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 59821 (Kentucky) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mariah T Moore, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 635-9440 | Ms Mariah T Moore, MD 300 Commercial Dr, Alexandria, KY 41001-2107 Ph: (859) 635-9440 |
Stephen M Scott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Commercial Drive, Alexandria, KY 41001 Phone: 859-635-9440 Fax: 859-448-2622 | |
Michelle Murray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Commercial Drive, Alexandria, KY 41001 Phone: 859-635-9440 Fax: 859-448-2622 |