| Diane Ollive Moore, ARNP | |
|
8033 Dixie Hwy, Louisville, KY 40258 | |
| (502) 937-3155 | |
| (502) 935-0743 |
| Full Name | Diane Ollive Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 8033 Dixie Hwy, Louisville, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821326760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 6250P (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 6250P (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Isaiah House Inc | 7113262163 | 9 |
| Recover Together Inc | 7810247533 | 116 |
| Recover Together Inc | 7810247533 | 116 |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720262645 PECOS PAC ID: 9739260019 Enrollment ID: O20100106000864 |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Entity Name | Isaiah House Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396086559 PECOS PAC ID: 7113262163 Enrollment ID: O20181219000602 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20201023002201 |
| Entity Name | Real Health Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023691813 PECOS PAC ID: 9537561659 Enrollment ID: O20210713000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Ollive Moore, ARNP Po Box 856300, Dept 125, Louisville, KY 40285-6300 Ph: (502) 937-3155 | Diane Ollive Moore, ARNP 8033 Dixie Hwy, Louisville, KY 40258 Ph: (502) 937-3155 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |