Mary R Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bangor, ME

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Mary R Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bangor, Maine. She graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sheridan Healthcorp Inc and her current practice location is 489 State St, C/o Emmc, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 973-4519.

Mary R Moore is licensed to practice in Maine (license number 034710) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376642173.

Contact Information

Mary R Moore, CRNA
489 State St, C/o Emmc,
Bangor, ME 04401-6616
(207) 973-4519
(207) 992-4132

Map and Direction




Provider's Profile

Full NameMary R Moore
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience31 Years
Location489 State St, Bangor, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary R Moore graduated from nursing school in 1993
  NPI Data:
  • NPI Number: 1376642173
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 03/06/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1951291962
  • Enrollment ID: I20160419001237

Medical Identifiers

Medical identifiers for Mary R Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376642173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 034710 (Maine)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OcalaOcala, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sheridan Healthcorp Inc3173429693866

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary R Moore allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameSt Lucie Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700044252
PECOS PAC ID: 4284792706
Enrollment ID: O20081027000765
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140128001202
Entity NameOcala Anesthesia Ams Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699197343
PECOS PAC ID: 4789814617
Enrollment ID: O20140220000864
Entity NameAms National Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316330830
PECOS PAC ID: 3870813025
Enrollment ID: O20150529000613
Entity NameSolace Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962046151
PECOS PAC ID: 3072945476
Enrollment ID: O20191122000303

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. Mary R Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary R Moore, CRNA
141 N Main St Ste 205, Emmc,
Brewer, ME 04412-2055

Ph: (207) 973-4519		Mary R Moore, CRNA
489 State St, C/o Emmc,
Bangor, ME 04401-6616

Ph: (207) 973-4519

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bangor, ME

Jaime Lee Naughton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Susan Lind, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Mrs. Elizabeth R Marshall, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Jesse Knowlton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 360 Broadway, Bangor, ME 04401
Phone: 207-907-1430    Fax: 207-907-3508
Mr. Timothy F Gale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132
Patricia L. Kennedy, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-973-4519
Daniel S Groves, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 489 State St, Bangor, ME 04401
Phone: 207-973-4519    Fax: 207-992-4132

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.