| Dr James Marvin Moore Jr, EDD | |
|
3188 Mansfield St, The Villages, FL 32162-7448 | |
| (352) 409-7030 | |
| Not Available |
| Full Name | Dr James Marvin Moore Jr |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 51 Years |
| Location | 3188 Mansfield St, The Villages, Florida |
| 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 |
|---|---|---|---|
| 1134116544 | NPI | - | NPPES |
| 75793 | Other | FL | BC/BS ID NUMER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3671 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Lake Center Of H.o.p.e., Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366647802 PECOS PAC ID: 8628971728 Enrollment ID: O20040128000076 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Marvin Moore Jr, EDD 3188 Mansfield St, The Villages, FL 32162-7448 Ph: (352) 409-7030 | Dr James Marvin Moore Jr, EDD 3188 Mansfield St, The Villages, FL 32162-7448 Ph: (352) 409-7030 |
Dr. Phillip Paul Ruppert, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3309 Wedgewood Ln, The Villages, FL 32162 Phone: 352-391-1220 Fax: 352-391-9247 | |
Dr. Lucille Anne Rathier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 280 Farner Pl, The Villages, FL 32163 Phone: 352-674-1710 Fax: 352-674-8990 | |
Dr. Margarita Ana Graeber, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 352-674-5000 | |
David Lawerence Modders, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8877 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 352-674-1750 | |
Dr. Allan Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2526 Tamarind Grove Run, The Villages, FL 32162 Phone: 516-282-5985 | |
Ms. Cynthia Lynne Stewart, PA-C Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8877 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 352-674-1750 Fax: 352-674-8950 |