| Brenda Kay Moore, DO | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1253 | |
| Not Available |
| Full Name | Brenda Kay Moore |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| 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 |
|---|---|---|---|
| 1275824120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 009519 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gallup Indian Medical Center | Gallup, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dhhs,phs,naihs Gallup Indian Medical Center | 3173436409 | 134 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013 |
| Entity Name | Dhhs Ihs Phoenix Area |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961 |
| Entity Name | Irene Benn Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Kay Moore, DO 825 Outlaw Rd Unit 73, Church Rock, NM 87311-0014 Ph: (832) 686-1965 | Brenda Kay Moore, DO 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1253 |
Angela R Dorsey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Donald Joel Lewis-kraitsik, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Margot Albert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Aedra D. Andrade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N 5th St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2691 | |
Dr. Bert Clair Eliason, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Alma Julia Alford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-726-8740 | |
Dr. Curtis Olson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |