| Mrs Chermal Rondell Moore, NURSE PRACTITIONER | |
|
1017 W Beacon St, Philadelphia, MS 39350-3218 | |
| (769) 200-0730 | |
| Not Available |
| Full Name | Mrs Chermal Rondell Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1017 W Beacon St, Philadelphia, Mississippi |
| 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 |
|---|---|---|---|
| 1649745241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902980 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Chermal Rondell Moore, NURSE PRACTITIONER 2240 Tallabogue Rd, Forest, MS 39074-8592 Ph: (601) 826-5561 | Mrs Chermal Rondell Moore, NURSE PRACTITIONER 1017 W Beacon St, Philadelphia, MS 39350-3218 Ph: (769) 200-0730 |
Sierra Cain, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 562 Line St S Ste 1, Philadelphia, MS 39350 Phone: 601-504-6430 | |
Mrs. Aishia Leigh Keady I, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 E Main St, Suite 1, Philadelphia, MS 39350 Phone: 601-656-1465 Fax: 601-656-2752 | |
Sallie Evans Dalton, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 E Main St, Philadelphia, MS 39350 Phone: 601-389-7889 Fax: 601-533-2566 | |
Mrs. Paula Clearman, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Hospital Rd E, Philadelphia, MS 39350 Phone: 601-656-1001 Fax: 601-656-7555 | |
Tonia Holley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1122 E Main St, Suite 4, Philadelphia, MS 39350 Phone: 601-656-1001 Fax: 601-656-7555 | |
Alisha Denise Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Holland Ave, Philadelphia, MS 39350 Phone: 601-663-1200 | |
Angela K Skinner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 W Beacon St, Philadelphia, MS 39350 Phone: 601-656-6116 Fax: 601-656-5445 |