| Ann Pollard Moore, APRN, CNM | |
| 
					245 Flemingsburg Rd Ste A340, Morehead, KY 40351-1015  | |
| (606) 207-2931 | |
| (606) 783-0964 | 
| Full Name | Ann Pollard Moore | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 245 Flemingsburg Rd Ste A340, Morehead, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265487987 | NPI | - | NPPES | 
| 014977700 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | ARNP9395442 (Florida) | Secondary | 
| 367A00000X | Advanced Practice Midwife | 3002481 (Kentucky) | Primary | 
| Entity Name | Florida Community Health Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851518211 PECOS PAC ID: 9931017126 Enrollment ID: O20040515000037  | 
| Entity Name | Ob Hospitalist Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363  | 
| Entity Name | Brevard Health Alliance Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013355726 PECOS PAC ID: 0446201768 Enrollment ID: O20151124000192  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ann Pollard Moore, APRN, CNM 330 E Hibiscus Blvd, Melbourne, FL 32901-3155 Ph: (321) 724-2229  | Ann Pollard Moore, APRN, CNM 245 Flemingsburg Rd Ste A340, Morehead, KY 40351-1015 Ph: (606) 207-2931  | 
Ginger Hardy, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 245 Flemingsburg Rd Ste A340, Morehead, KY 40351 Phone: 606-207-2931 Fax: 606-783-0964  |