Pamela M Moore, NP | |
611 W. Park St., Cardiology, Urbana, IL 61801-2500 | |
(217) 904-7000 | |
(217) 904-7742 |
Full Name | Pamela M Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 611 W. Park St., Urbana, Illinois |
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 |
---|---|---|---|
1881701308 | NPI | - | NPPES |
103086 | Other | MC COCHISE | |
300051634 | Other | MARICOPA FOUND | |
448664 | Other | MERCY CARE | |
103087 | Other | AZ | RR MC PIN |
103087 | Other | MC PIMA | |
1Z1408 | Other | INTERGROUP HEALTHNET | |
300051634 | Other | HUMANA | |
448664 | Other | AHCCCS | |
AZ0819900 | Other | AZ | BCBS |
300051634 | Other | AZ | HEALTH PLAN AHP |
300051634 | Other | CIGNA | |
102542 | Other | AZ | RR MC GRP |
103086 | Other | AZ | RR MC PIN |
500005593 | Other | TRAVELERS MC | |
300051634 | Other | AETNA | |
448664 | Other | INDIAN HEALTH | |
448664 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | RN81005 (Arizona) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209-006880 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carle Health Care Incorporated | 3577515774 | 808 |
Entity Name | Prairie Cardiovascular Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031103000090 |
Entity Name | Prairie Cardiovascular Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982714218 PECOS PAC ID: 3173435880 Enrollment ID: O20031230000311 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
---|---|
Pamela M Moore, NP 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Pamela M Moore, NP 611 W. Park St., Cardiology, Urbana, IL 61801-2500 Ph: (217) 904-7000 |