| Samuel Arthur Moore, MD | |
|
501 20th St, Ste 503, Knoxville, TN 37916-1809 | |
| (865) 541-4321 | |
| (865) 541-4320 |
| Full Name | Samuel Arthur Moore |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 501 20th St, Knoxville, Tennessee |
| 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 |
|---|---|---|---|
| 1467684621 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN | |
| Q006336 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 51204 (Tennessee) | Secondary |
| 2084A2900X | Psychiatry & Neurology - Neurocritical Care | 51204 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Sanders Regional Medical Center | Knoxville, TN | Hospital |
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group Inc | 2860305463 | 301 |
| Parkwest Medical Center | 8527965417 | 58 |
| St John Physicians Inc | 2567366495 | 216 |
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Parkwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
| Entity Name | Fort Sanders Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942294814 PECOS PAC ID: 9537066428 Enrollment ID: O20040429000650 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Arthur Moore, MD 501 20th St, Ste 503, Knoxville, TN 37916-1809 Ph: (865) 541-4321 | Samuel Arthur Moore, MD 501 20th St, Ste 503, Knoxville, TN 37916-1809 Ph: (865) 541-4321 |
Dr. Namita Garg, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2018 W Clinch Avenue, Knoxville, TN 37916 Phone: 865-523-5437 Fax: 865-246-7566 | |
Amanda May Leuthold, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1111 N Northshore Dr, Knoxville, TN 37919 Phone: 655-840-1718 | |
Michelle Lanter Brewer, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2200 Sutherland Ave., Knoxville, TN 37919 Phone: 865-521-6174 | |
Dr. Caryn Leslie Stoller, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1111 N Northshore Dr Ste S490, Knoxville, TN 37919 Phone: 865-584-0171 Fax: 865-584-0174 | |
Sharon R Burnside, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6906 Kingston Pike, Suite 200, Knoxville, TN 37919 Phone: 865-588-4044 | |
Manju Khanna, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 600 Arthur St, Knoxville, TN 37921 Phone: 865-523-8695 | |
Dr. Cassie P. Ables, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Clinch Ave Ste 210, Knoxville, TN 37916 Phone: 865-523-5437 Fax: 865-246-7566 |