| Ray Jemison Moore Iii, MD | |
|
2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805-6437 | |
| (256) 533-1480 | |
| (256) 536-4158 |
| Full Name | Ray Jemison Moore Iii |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 30 Years |
| Location | 2904 Westcorp Blvd Sw, Huntsville, Alabama |
| 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 |
|---|---|---|---|
| 1346244076 | NPI | - | NPPES |
| 051094264 | Other | AL | BCBS |
| 009927350 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 20131 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Crestwood Medical Center | Huntsville, AL | Hospital |
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pathology Associates, P.c. | 1052396249 | 13 |
| Oncology Specialties, P.c. | 1254328495 | 83 |
| Entity Name | Oncology Specialties, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425716 PECOS PAC ID: 1254328495 Enrollment ID: O20040428001467 |
| Entity Name | Pathology Associates, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386626083 PECOS PAC ID: 1052396249 Enrollment ID: O20040622000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Jemison Moore Iii, MD 2904 Westcorp Blvd Sw, Suite 108, Huntsville, AL 35805-6437 Ph: (256) 533-1480 | Ray Jemison Moore Iii, MD 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805-6437 Ph: (256) 533-1480 |
Wendy S Moreland, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805 Phone: 256-533-1480 Fax: 256-535-0715 | |
Walter G Grundy, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805 Phone: 256-533-1480 | |
Armanda D. Tatsas, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2904 Westcorp Blvd Sw Ste 108, Huntsville, AL 35805 Phone: 256-533-1480 | |
Frank Andrew Honkanen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805 Phone: 256-533-1480 | |
John Michael Jones, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805 Phone: 256-533-1480 Fax: 256-536-4158 | |
Aimee A League, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2904 Westcorp Blvd Sw, Suite 107/108, Huntsville, AL 35805 Phone: 256-533-1480 |