| Tara L Moore, DO | |
|
100 Mercy Way Ste 510, Joplin, MO 64804-4524 | |
| (417) 623-6056 | |
| Not Available |
| Full Name | Tara L Moore |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 7 Years |
| Location | 100 Mercy Way Ste 510, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740608884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0102205234 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2020020209 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Sault | 7315936481 | 88 |
| Mymichigan Medical Center Sault | 7315936481 | 88 |
| Entity Name | Mercy Clinic Joplin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20120225000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Moore, DO 100 Mercy Way Ste 510, Joplin, MO 64804-4524 Ph: (417) 623-6056 | Tara L Moore, DO 100 Mercy Way Ste 510, Joplin, MO 64804-4524 Ph: (417) 623-6056 |
Michelle Adriana Boice, M. D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2935 E 18th St, Joplin, MO 64804 Phone: 417-682-4641 Fax: 417-206-2029 | |
Jeffrey Cox, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1532 W 32nd St, Ste 201, Joplin, MO 64804 Phone: 417-347-8660 Fax: 417-347-8691 | |
Oman E Dement, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1532 W 32nd St, Ste 401, Joplin, MO 64804 Phone: 417-347-7009 Fax: 417-347-3288 | |
Cheryl A Fogarty, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3103 Mcclelland Blvd, Joplin, MO 64804 Phone: 417-624-2621 Fax: 417-624-4652 | |
Miss Jessica B Windschitl, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1532 W 32nd St Ste 301, Joplin, MO 64804 Phone: 417-347-2525 Fax: 417-347-8991 | |
Dr. Terry Keith Grebe, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2736 E 15th St, Joplin, MO 64804 Phone: 417-782-0166 Fax: 417-782-0166 | |
Bernard Joseph Canzoneri, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1532 W 32nd St Ste 302, Joplin, MO 64804 Phone: 417-347-8590 |