| Wistar Moore Iii, MD | |
|
1 Myrtlewood Dr, Savannah, GA 31405-1084 | |
| (352) 267-5190 | |
| Not Available |
| Full Name | Wistar Moore Iii |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1 Myrtlewood Dr, Savannah, Georgia |
| 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 1 Myrtlewood Dr, Savannah, GA 31405-1084 Ph: (352) 267-5190 | Wistar Moore Iii, MD 1 Myrtlewood Dr, Savannah, GA 31405-1084 Ph: (352) 267-5190 |
David V Capallo, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 900 Mohawk Street Ste E, Savannah, GA 31419 Phone: 912-925-0067 Fax: 912-629-0280 | |
Brian Marcus Bailey, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5354 Reynolds St Ste 102, Savannah, GA 31405 Phone: 912-819-0500 Fax: 912-819-0501 | |
Dr. Roberto Rodriguez, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave Ste 403, Savannah, GA 31404 Phone: 912-273-1150 Fax: 912-273-2811 | |
Dariush Heidary, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4750 Waters Ave, Suite 452, Savannah, GA 31404 Phone: 912-354-7188 Fax: 912-354-5208 | |
R Alan Hall, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 815 E 63rd St, Savannah, GA 31405 Phone: 912-355-8188 Fax: 912-356-6970 | |
Mark M Suzuki, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 Mercy Blvd Bldg 1, Savannah, GA 31419 Phone: 912-819-0500 Fax: 912-819-0501 |