Ms Debra S Moore, CRNA | |
21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952-6742 | |
(941) 235-5800 | |
Not Available |
Full Name | Ms Debra S Moore |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 21260 Olean Blvd, Port Charlotte, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225109556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN320754L (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | ARNP9382294 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Raulerson Hospital | Okeechobee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 866 |
Entity Name | Northwood Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801847405 PECOS PAC ID: 8022920255 Enrollment ID: O20031105000191 |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Mailing Address | Practice Location Address |
---|---|
Ms Debra S Moore, CRNA 18167 Us Highway 19 N Ste 650, Credentials Dept, Clearwater, FL 33764-6576 Ph: (727) 437-0836 | Ms Debra S Moore, CRNA 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952-6742 Ph: (941) 235-5800 |
Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Juan David Vargas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18350 Murdock Cir, Port Charlotte, FL 33948 Phone: 941-206-7251 | |
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220 | |
Michael A Baskind, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21275 Olean Blvd, Port Charlotte, FL 33952 Phone: 941-624-5559 Fax: 941-624-3777 | |
Nancy A Waywood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4122 |