| Dominique Moore, NP | |
|
12300 Washington Hwy, Ashland, VA 23005-7646 | |
| (804) 897-9355 | |
| Not Available |
| Full Name | Dominique Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12300 Washington Hwy, Ashland, Virginia |
| 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 |
|---|---|---|---|
| 1063294205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024188517 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hanover County Board Of Supervisors | 8527968742 | 15 |
| Entity Name | Hanover County Board Of Supervisors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104858653 PECOS PAC ID: 8527968742 Enrollment ID: O20040112000531 |
| Entity Name | Rhodium Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235853698 PECOS PAC ID: 4880059922 Enrollment ID: O20230425002482 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Moore, NP 12300 Washington Hwy, Ashland, VA 23005-7646 Ph: () - | Dominique Moore, NP 12300 Washington Hwy, Ashland, VA 23005-7646 Ph: (804) 897-9355 |
Mrs. Mallory Erin Cummings, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Dr, Ashland, VA 23005 Phone: 804-798-8307 Fax: 804-798-4204 | |
Mrs. Brigite Marie Stark, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 635 N Washington Hwy, Ashland, VA 23005 Phone: 804-798-9208 Fax: 804-798-8108 | |
Ms. Brenda Sawyer, LNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Ashland, VA 23005 Phone: 804-798-8307 Fax: 804-798-4204 | |
Ry Willis Bergum, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4200 Fax: 804-365-6639 | |
Jessica R Geen, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4217 | |
Daeryl Williamson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10469 Atlee Station Rd, Ashland, VA 23005 Phone: 804-923-4002 Fax: 804-613-6595 |