| Gregory Smith Moran, NP | |
|
875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | |
| (650) 498-6000 | |
| Not Available |
| Full Name | Gregory Smith Moran |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 875 Blake Wilbur Drive, Stanford, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780006916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 23215 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St Luke's Nampa Medical Center | Nampa, ID | Hospital |
| St Luke's Elmore Medical Center | Mountain home, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Smith Moran, NP 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 Ph: () - | Gregory Smith Moran, NP 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 Ph: (650) 498-6000 |
Angie Dee Murkins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Gloria Le Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Mrs. Joi Mei Soucy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Jangmi Baik Siverson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Ambera Dedic, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Olinda Su Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Laura Lynne Asaro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Blake Wilbur Dr, Clinic D, Stanford, CA 94305 Phone: 650-723-6197 |