| Thomas L Moore, MD | |
|
106 Campus Ave, Lewiston, ME 04240-6019 | |
| (207) 777-8850 | |
| (207) 777-8641 |
| Full Name | Thomas L Moore |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 106 Campus Ave, Lewiston, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124097415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD16954 (Maine) | Primary |
| Entity Name | Southern Maine Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L Moore, MD Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 755-3781 | Thomas L Moore, MD 106 Campus Ave, Lewiston, ME 04240-6019 Ph: (207) 777-8850 |
David S Lewis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St Ste 401, Lewiston, ME 04240 Phone: 207-795-5767 Fax: 207-795-2732 | |
David J Burke, MD Surgery Medicare: Medicare Enrolled Practice Location: 12 High St, Ste. 401, Lewiston, ME 04240 Phone: 207-795-5767 | |
Ms. Marsha C O'rourke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 99 Campus Ave, Suite 303, Lewiston, ME 04240 Phone: 207-782-5424 Fax: 207-782-1136 | |
Allan M Ingraham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 High St, Cmhvi-y1, Lewiston, ME 04240 Phone: 207-795-8260 Fax: 207-795-8281 | |
George Randolph Tuchsen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St Ste 401, Lewiston, ME 04240 Phone: 207-795-5767 | |
Gregory D'augustine, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 10 High St, Suite 202, Lewiston, ME 04240 Phone: 207-784-2903 | |
Dr. Scott Raymond Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12 High St Ste 401, Lewiston, ME 04240 Phone: 207-795-5767 Fax: 207-795-2732 |