| Wistar Moore Iii, MD | |
|
801 E 6th St Ste 307, Panama City, FL 32401-3663 | |
| (850) 785-9559 | |
| (850) 608-6423 |
| Full Name | Wistar Moore Iii |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 801 E 6th St Ste 307, Panama City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326076274 | NPI | - | NPPES |
| 375218600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME64685 (Florida) | Primary |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Wistar Moore Iii, MD 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Wistar Moore Iii, MD 801 E 6th St Ste 307, Panama City, FL 32401-3663 Ph: (850) 785-9559 |
Norman Reed Finney, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 801 E 6th Street, Suite 309, Panama City, FL 32401 Phone: 850-785-9559 Fax: 850-785-1136 | |
Gregory James England, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 801 E 6th Street, Suite 309, Panama City, FL 32401 Phone: 850-785-9559 Fax: 850-770-3026 | |
Lynn S Seto, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-785-9559 Fax: 850-770-3026 | |
John Michael Kessinger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 801 E 6th Street, Suite 309, Panama City, FL 32401 Phone: 850-785-9559 Fax: 850-785-1136 | |
Richard S Eubanks Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 801 E 6th St Ste 307, Panama City, FL 32401 Phone: 850-804-3823 Fax: 850-608-6423 | |
Shamini Ganeshan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 801 E 6th St Ste 307, Panama City, FL 32401 Phone: 850-804-3823 Fax: 850-608-6423 |