| Andrew Marc Moore, | |
|
3535 Pentagon Blvd, Beavercreek, OH 45431-1705 | |
| (937) 702-4024 | |
| (937) 702-4035 |
| Full Name | Andrew Marc Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 3535 Pentagon Blvd, Beavercreek, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710462734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 3688 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 50.005821RX (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Soin Medical Center | Beaver creek, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 586 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Marc Moore, 2105 Sherbrooke Ln, Nashville, TN 37211-7029 Ph: (865) 776-8490 | Andrew Marc Moore, 3535 Pentagon Blvd, Beavercreek, OH 45431-1705 Ph: (937) 702-4024 |
Amanda Yun Anania, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 330, Beavercreek, OH 45431 Phone: 937-757-9449 Fax: 937-702-4944 | |
Lindsey R Hammett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Harbert Dr, Beavercreek, OH 45440 Phone: 937-208-7575 Fax: 937-208-7590 | |
Emily Grace Trompak (o'neal), PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd, Beavercreek, OH 45431 Phone: 937-702-4450 Fax: 937-702-4459 | |
Sarah Gould, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-429-0608 | |
Breanne Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 42 Woodcroft Trl, Beavercreek, OH 45430 Phone: 937-429-0682 | |
Kelly Bultman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2510 Commons Blvd Ste 210, Beavercreek, OH 45431 Phone: 513-833-4912 | |
Michelle A Ortman, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Sylvania Dr, Beavercreek, OH 45440 Phone: 937-320-5050 Fax: 937-320-5060 |