| Erin Madison Moore, PA-C | |
|
1 Medical Center Blvd #8, Winston Salem, NC 27157-0001 | |
| (336) 713-5660 | |
| Not Available |
| Full Name | Erin Madison Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 1 Medical Center Blvd #8, Winston Salem, North Carolina |
| 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 |
|---|---|---|---|
| 1659134112 | NPI | - | NPPES |
| 225416754419 | Other | AL | BLS |
| 0010-13940 | Other | NC | NCMB |
| 225406755001 | Other | AL | ACLS |
| 1215979 | Other | NCCPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 204F00000X | Transplant Surgery | 0010-13940 (North Carolina) | Primary |
| 363A00000X | Physician Assistant | 0010-13940 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of North Carolina Pc | 6002837572 | 208 |
| Wake Forest University Health Sciences | 4486564952 | 2633 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Minuteclinic Diagnostic of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
| Entity Name | Minuteclinic Primary Care North Carolina PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356159818 PECOS PAC ID: 9234657545 Enrollment ID: O20250520000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Madison Moore, PA-C 1 Medical Center Blvd #8, Winston Salem, NC 27157-0001 Ph: (336) 713-5660 | Erin Madison Moore, PA-C 1 Medical Center Blvd #8, Winston Salem, NC 27157-0001 Ph: (336) 713-5660 |