Dr Michael Kirk Moore Jr, MD, PC - Surgery in Idaho Falls, ID

Dr Michael Kirk Moore Jr, MD, PC is a Surgery - Plastic And Reconstructive Surgery physician based in Idaho Falls, Idaho. Dr Michael Kirk Moore Jr is licensed to practice in Idaho (license number M-8270) and his current practice location is 2860 Channing Way, Suite 213, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 552-1406.

NPI number for Dr Michael Kirk Moore Jr is 1306064860 and his current mailing address is Po Box 1769, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306064860.

Contact Information

Dr Michael Kirk Moore Jr, MD, PC
2860 Channing Way, Suite 213,
Idaho Falls, ID 83404-7531
(208) 552-1406
(208) 552-1416



Physician's Profile

Full NameDr Michael Kirk Moore Jr
GenderMale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location2860 Channing Way, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306064860
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Michael Kirk Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306064860NPI-NPPES
M-8270OtherIDMEDICAL LICENSE, ID
5959620-1205OtherUTUT MEDICAL LICENSE
58MKM02OtherWYWY ST BOARD OF PHARMACY
5959620-8905OtherUTUT ST BOARD OF PHARMACY
6687AOtherWYWY MEDICAL LICENSE
CS9201OtherIDID ST BOARD OF PHARMACY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery M-8270 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Kirk Moore Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael Kirk Moore Jr, MD, PC
Po Box 1769,
Idaho Falls, ID 83403-1769

Ph: (208) 552-1406
Dr Michael Kirk Moore Jr, MD, PC
2860 Channing Way, Suite 213,
Idaho Falls, ID 83404-7531

Ph: (208) 552-1406

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Surgery Doctors in Idaho Falls, ID

Warren E Albrecht, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404
Phone: 208-528-1000    Fax: 208-528-1900
Brad D Smith, D.O.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2805 Valencia Dr, Idaho Falls, ID 83404
Phone: 208-552-3184    Fax: 208-525-6151
Dr. Gregory R. Hodson, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404
Phone: 208-524-4660    Fax: 208-524-4617
Dr. John Garth Oliver Miller, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2327 Coronado St Fl 2, Idaho Falls, ID 83404
Phone: 208-528-1750    
Bruce James Watkins, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3369 Merlin Dr Ste B, Idaho Falls, ID 83404
Phone: 844-919-4263    Fax: 833-513-0980
Adam Meziani, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Channing Way Ste 206, Idaho Falls, ID 83404
Phone: 208-529-2230    

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