| Mr Michael Moore I, CRNA | |
|
227 Louisa Ave, Pottsville, PA 17901-8689 | |
| (570) 621-2843 | |
| Not Available |
| Full Name | Mr Michael Moore I |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 227 Louisa Ave, Pottsville, Pennsylvania |
| 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 |
|---|---|---|---|
| 1770585614 | NPI | - | NPPES |
| P00609431 | Other | PA | RR MEDICARE |
| 1020907340001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN290431L (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Pottsville Pa Endoscopy Asc Lp | 8325139595 | 3 |
| Entity Name | The Pottsville Pa Endoscopy Asc Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588849764 PECOS PAC ID: 8325139595 Enrollment ID: O20071130000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Moore I, CRNA 227 Louisa Ave, Pottsville, PA 17901-8689 Ph: (570) 621-2843 | Mr Michael Moore I, CRNA 227 Louisa Ave, Pottsville, PA 17901-8689 Ph: (570) 621-2843 |
Heidi I Lapachinsky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 E Norwegian St, Pottsville, PA 17901 Phone: 570-621-4143 | |
Kathleen Owens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-5171 Fax: 570-621-5589 | |
Michele Diane Grube, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-4000 | |
Maryann Nancy Fada, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 E Norwegian St, Pottsville, PA 17901 Phone: 570-621-4000 | |
Terry Lee Lex, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 49 Tunnel Rd, Ste 103, Pottsville, PA 17901 Phone: 570-622-6520 Fax: 570-622-6525 | |
Norman J Egan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-5000 Fax: 570-621-5589 | |
Elizabeth H Flannery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 420 S Jackson St, Pottsville, PA 17901 Phone: 570-621-5000 Fax: 570-621-5589 |