Michelle Lynn Moore, NP | |
17731 E Warren Ave, Detroit, MI 48224-1329 | |
(734) 489-9863 | |
Not Available |
Full Name | Michelle Lynn Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 17731 E Warren Ave, Detroit, Michigan |
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 |
---|---|---|---|
1215581970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704196541 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kent Regency Center | Warwick, RI | Nursing home |
Doctors Community Rehabilitation And Patient Care | Lanham, MD | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
In Post Acute Specialists, Pc | 8325379522 | 8 |
Post Acute Specialists Llc | 1951676568 | 70 |
Entity Name | In Post Acute Specialists, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629584396 PECOS PAC ID: 8325379522 Enrollment ID: O20191018000418 |
Entity Name | Pai Participant 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20200420000174 |
Entity Name | Reliant Md Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952865495 PECOS PAC ID: 2466871207 Enrollment ID: O20201123001869 |
Mailing Address | Practice Location Address |
---|---|
Michelle Lynn Moore, NP 17731 E Warren Ave, Detroit, MI 48224-1329 Ph: () - | Michelle Lynn Moore, NP 17731 E Warren Ave, Detroit, MI 48224-1329 Ph: (734) 489-9863 |
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