| Cameron Jordan Moore, | |
|
1108 Ross Clark Cir, Dothan, AL 36301-3022 | |
| (334) 793-8111 | |
| Not Available |
| Full Name | Cameron Jordan Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 0 Years |
| Location | 1108 Ross Clark Cir, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1447046503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3-002354 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston County Healthcare Authority | 9436062296 | 226 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Jordan Moore, 1305 Jj Whitaker Rd, Bonifay, FL 32425-6323 Ph: (850) 768-3819 | Cameron Jordan Moore, 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-8111 |
Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864 | |
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 | |
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419 | |
Branden Schorr, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-899-8111 | |
Janet Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 |