| Dr Joseph Todd Moore, FNP, DC | |
|
11 Executive Woods Ct, Swansea, IL 62226-2016 | |
| (618) 513-0090 | |
| Not Available |
| Full Name | Dr Joseph Todd Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 11 Executive Woods Ct, Swansea, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679620082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209027238 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2023010527 (Missouri) | Primary |
| Entity Name | Integrative Spine Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649623240 PECOS PAC ID: 5496059909 Enrollment ID: O20161212000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Todd Moore, FNP, DC 19594 State Highway 14, Macedonia, IL 62860-1127 Ph: (618) 435-3960 | Dr Joseph Todd Moore, FNP, DC 11 Executive Woods Ct, Swansea, IL 62226-2016 Ph: (618) 513-0090 |
Mrs. Charity Wambui Nyuguto, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Park Pl, Swansea, IL 62226 Phone: 618-257-0780 Fax: 618-234-7242 | |
Mrs. Donna Mcghee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Park Pl, Swansea, IL 62226 Phone: 618-233-5722 Fax: 618-233-7069 | |
Laura Lorraine Hackworth, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 510 Fullerton Rd, Swansea, IL 62226 Phone: 618-233-7666 Fax: 618-233-7461 | |
Brittanie Bardon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4941 Benchmark Centre Dr, Ste 100, Swansea, IL 62226 Phone: 618-624-9970 Fax: 618-624-9973 | |
Lauren Eck, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 N Illinois Ln, Swansea, IL 62226 Phone: 618-236-1000 | |
Angela Elizabeth Nauman-musick, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226 Phone: 618-628-2588 Fax: 618-628-1363 | |
Terri Denise Furfaro, DNP,APN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Fullerton Rd, Swansea, IL 62226 Phone: 618-233-7666 Fax: 618-233-7461 |