| Anthony Allen Moore, PA | |
|
4215 Edgewater Dr, Orlando, FL 32804-2206 | |
| (855) 582-7747 | |
| (888) 972-4761 |
| Full Name | Anthony Allen Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 4215 Edgewater Dr, Orlando, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497901029 | NPI | - | NPPES |
| BJ031X | Other | FL | QSS SCS PTAN |
| 132026300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAT9104697 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA9104697 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Orlando Health Sebastian River Hospital | Sebastian, FL | Hospital |
| Entity Name | PA Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891001939 PECOS PAC ID: 2860663713 Enrollment ID: O20110926000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Allen Moore, PA 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 Ph: (973) 894-1265 | Anthony Allen Moore, PA 4215 Edgewater Dr, Orlando, FL 32804-2206 Ph: (855) 582-7747 |
Valerie Lynn Poirier, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1512 W Colonial Dr, Orlando, FL 32804 Phone: 407-423-1768 |
Lauren C. Meador, PA-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 S Orange Ave, Orlando, FL 32806 Phone: 407-648-3800 |
Mrs. Jean Fairchild Blythe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5979 Vineland Rd Ste 101, Orlando, FL 32819 Phone: 407-355-3120 Fax: 407-355-3119 |
Ernest Chi Kong Ng, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 E Princeton St Ste 310, Orlando, FL 32803 Phone: 407-303-5781 Fax: 407-303-5794 |
Madison Julia Marcano, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 S Orange Ave, Orlando, FL 32806 Phone: 321-843-8010 Fax: 321-843-6330 |
Victoria Jean Treiber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6057 Lake Pointe Dr Apt 410, Orlando, FL 32822 Phone: 407-952-1903 |
Mr. Morris C Evans, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5881 Turkey Lake Rd, Orlando, FL 32819 Phone: 407-224-2273 Fax: 407-264-6494 |