| Courtney L Moore, NP | |
|
4325 E Cricket Knl, Bloomington, IN 47401-8103 | |
| (812) 345-7268 | |
| (317) 674-0060 |
| Full Name | Courtney L Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 4325 E Cricket Knl, Bloomington, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801319231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71007248A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71007248A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerstone Health Services Inc | 1850497173 | 17 |
| Centerstone Of Indiana Inc | 9436138427 | 76 |
| Entity Name | Centerstone Of Indiana, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Entity Name | Aspire Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
| Entity Name | Centerstone Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518528579 PECOS PAC ID: 1850497173 Enrollment ID: O20070504000012 |
| Entity Name | Valle Vista Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699722405 PECOS PAC ID: 8224948930 Enrollment ID: O20091224000024 |
| Entity Name | Aspire Indiana Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney L Moore, NP 4325 E Cricket Knl, Bloomington, IN 47401-8103 Ph: (812) 345-7268 | Courtney L Moore, NP 4325 E Cricket Knl, Bloomington, IN 47401-8103 Ph: (812) 345-7268 |
Ruana Cronin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-3299 Fax: 812-355-3290 | |
Beverly J Shamloo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Liberty Dr, Bloomington, IN 47403 Phone: 812-676-4500 | |
Pamela Ann Maclaughlin, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 S Adams St, Bloomington, IN 47403 Phone: 812-333-6324 Fax: 812-331-6700 | |
Nichole Hickman, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 350 S Landmark Ave, Bloomington, IN 47403 Phone: 812-335-2434 Fax: 812-335-7604 | |
Robert G Pursell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-353-9515 | |
Emilee J Mcglone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-330-3688 Fax: 812-355-3270 | |
Erin Elizabeth Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Landmark Ave, Bloomington, IN 47403 Phone: 812-355-6900 |