| Danielle A Moore, PA | |
|
1153 Centre St, Jamaica Plain, MA 02130 | |
| (617) 983-7000 | |
| Not Available |
| Full Name | Danielle A Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1153 Centre St, Jamaica Plain, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467887067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016909 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA4801 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle A Moore, PA 1153 Centre St, Jamaica Plain, MA 02130-3446 Ph: Not Available | Danielle A Moore, PA 1153 Centre St, Jamaica Plain, MA 02130 Ph: (617) 983-7000 |
Catherine Coquinco Llamas, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7132 |
Mr. Scott Vincent Smalley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17 Germania St, Unit 1, Jamaica Plain, MA 02130 Phone: 617-777-0687 |
Tiffany Marie Everett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 170 Morton St, Jamaica Plain, MA 02130 Phone: 617-971-3452 |
Michelle Helm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 578-364-5353 |
Nicole Dwyer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Jamaica Plain, MA 02130 Phone: 617-983-7132 |
Justine Kramer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1153 Centre St, Ste. #5 South, Jamaica Plain, MA 02130 Phone: 617-983-7363 |
Juliana Newell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 7 Mark St Apt 3, Jamaica Plain, MA 02130 Phone: 508-272-2410 |