| Teiah Moore, DO | |
|
240 Meeting House Ln, Southampton, NY 11968-5009 | |
| (631) 726-0409 | |
| Not Available |
| Full Name | Teiah Moore |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 240 Meeting House Ln, Southampton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033520929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS019114 (Pennsylvania) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | City Of Philadelphia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317094 PECOS PAC ID: 6305758723 Enrollment ID: O20040220000911 |
| Entity Name | Family Practice Center Of Newtown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693347 PECOS PAC ID: 9234128166 Enrollment ID: O20040507000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Teiah Moore, DO 77 Reynolds St, Rochester, NY 14608-2139 Ph: (585) 576-4649 | Teiah Moore, DO 240 Meeting House Ln, Southampton, NY 11968-5009 Ph: (631) 726-0409 |
Dr. Jennifer Lyles Titus, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 435 N Main St, Southampton, NY 11968 Phone: 949-375-1857 | |
Miss Valaree Alexis Luck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-0409 Fax: 631-726-0396 | |
Christina Maria Hamm, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8200 | |
Dr. Allison Elizabeth Van Arsdale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8300 Fax: 631-726-8886 | |
Dr. Peter Joseph Raia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 89 Jobs Lane, Southampton, NY 11968 Phone: 631-283-9526 Fax: 631-283-6491 | |
Dr. Maryellen Versoza Benito, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 2 Montauk Hwy, Southampton, NY 11968 Phone: 646-962-9920 |