| Riley Austin Moore, PA-C | |
|
4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 | |
| (816) 478-4200 | |
| (816) 875-2598 |
| Full Name | Riley Austin Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 4880 Ne Goodview Cir, Lees Summit, Missouri |
| 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 |
|---|---|---|---|
| 1730713033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2020006739 (Missouri) | Primary |
| 363A00000X | Physician Assistant | 15-02694 (Kansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Medical Group Of Kc Pa | 7618144056 | 27 |
| Entity Name | Signature Medical Group of KC PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992087266 PECOS PAC ID: 7618144056 Enrollment ID: O20120215000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Austin Moore, PA-C 5101 College Blvd, Leawood, KS 66211-1614 Ph: (816) 478-4200 | Riley Austin Moore, PA-C 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 Ph: (816) 478-4200 |
Kristen R Nondorf, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 816-282-5000 |
Carly Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 Fax: 816-525-2841 |
Jessica Hartzler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-554-8346 Fax: 816-554-9470 |
Danyel Yardley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 |
Mrs. Krista Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 Fax: 816-246-9493 |
Madeline Leeann Mclain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064 Phone: 816-525-2840 |
Ms. Hannah Saville, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Nw Obrien Rd, Lees Summit, MO 64063 Phone: 816-287-1528 Fax: 343-503-0640 |