| Amanda Marie Moore, PA-C | |
|
30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 | |
| (302) 629-4787 | |
| (410) 860-9583 |
| Full Name | Amanda Marie Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 30265 Commerce Dr Unit 104, Millsboro, Delaware |
| 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 |
|---|---|---|---|
| 1033435656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C5-0000701 (Delaware) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beebe Medical Center | Lewes, DE | Hospital |
| Bayhealth Hospital, Sussex Campus | Milford, DE | Hospital |
| Atlantic General Hospital | Berlin, MD | Hospital |
| Pam Health Rehabilitation Hospital Of Georgetown L | Georgetown, DE | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peninsula Orthopaedic Assoc Pa | 6406844406 | 56 |
| Tidalhealth Specialty Care Llc | 7113340845 | 375 |
| Entity Name | Peninsula Orthopaedic Assoc PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780814202 PECOS PAC ID: 6406844406 Enrollment ID: O20090805000520 |
| Entity Name | Premier Orthopaedic Bone and Joint Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417251257 PECOS PAC ID: 2860677275 Enrollment ID: O20110429000064 |
| Entity Name | Tidalhealth Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20210113000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marie Moore, PA-C Po Box 69709, Baltimore, MD 21264-9709 Ph: (410) 860-9583 | Amanda Marie Moore, PA-C 30265 Commerce Dr Unit 104, Millsboro, DE 19966-3594 Ph: (302) 629-4787 |
Natalie A Tyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30265 Commerce Dr Unit 206, Millsboro, DE 19966 Phone: 410-749-4154 Fax: 410-860-9583 |
Bridget R Beebe, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28538 Dupont Blvd, Millsboro, DE 19966 Phone: 302-934-5052 |
Melissa Noah, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28538 Dupont Blvd, Millsboro, DE 19966 Phone: 302-829-3294 |
Courtney Caputo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30265 Commerce Dr Unit 103, Millsboro, DE 19966 Phone: 302-990-3280 |