Grant K Moore, MD in Springfield, MA - Otolaryngology

Grant K Moore, MD is a Otolaryngology physician based in Springfield, Massachusetts. Grant K Moore is licensed to practice in Massachusetts (license number 72182) and his current practice location is 100 Wason Avenue, Suite 100, Springfield, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (413) 732-7426.

NPI number for Grant K Moore is 1528040417 and his current mailing address is 100 Wason Avenue, Suite 100, Springfield, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528040417.

Contact Information

	Grant K Moore, MD
	100 Wason Avenue, Suite 100, Springfield, MA 01107
	(413) 732-7426
	(413) 734-2371

Physician's Profile

Full Name	Grant K Moore
Gender	Male
Speciality	Otolaryngology
Location	100 Wason Avenue, Springfield, Massachusetts
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1528040417
Provider Enumeration Date: 11/16/2005
Last Update Date: 10/05/2009

Medical Identifiers

Medical identifiers for Grant K Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528040417	NPI	-	NPPES
02668239	Medicaid	NY
3065898	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2372051 (New York)	Secondary
207Y00000X	Otolaryngology	72182 (Massachusetts)	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. Grant K Moore 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 Address	Practice Location Address
Grant K Moore, MD 100 Wason Avenue, Suite 100, Springfield, MA 01107 Ph: (413) 732-7426	Grant K Moore, MD 100 Wason Avenue, Suite 100, Springfield, MA 01107 Ph: (413) 732-7426

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Otolaryngology Doctors in Springfield, MA

Jacquelyn Reilly, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 110, Springfield, MA 01107 Phone: 413-732-7426 Fax: 413-734-2371
Dr. Daniel I Plosky, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 100, Springfield, MA 01107 Phone: 413-732-7426 Fax: 413-734-2371
Jerry M Schreibstein, MD. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 100, Springfield, MA 01107 Phone: 413-732-7426 Fax: 413-734-2371
Lauren Busekroos, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Ave, Suite 100, Springfield, MA 01107 Phone: 413-732-7426
Theodore P Mason, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Wason Avenue, Suite 100, Springfield, MA 01107 Phone: 413-732-7426 Fax: 413-734-2371
Robert Harris Osofsky, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 299 Carew St, Ste 330, Springfield, MA 01104 Phone: 413-734-4918 Fax: 413-734-4919

Grant K Moore, MD - Otolaryngology in Springfield, MA