| Mrs Cheryl Stewart Moore, CRNA | |
|
612 Mocksville Ave, Salisbury, NC 28144-2732 | |
| (704) 210-5661 | |
| Not Available |
| Full Name | Mrs Cheryl Stewart Moore |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 612 Mocksville Ave, Salisbury, North Carolina |
| 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 |
|---|---|---|---|
| 1760414924 | NPI | - | NPPES |
| P00117358 | Other | NC | RR MEDICARE |
| 8050664 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 45272 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilkes Regional Medical Center | North wilkesboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest University Health Sciences | 4486564952 | 2274 |
| East Carolina Anesthesia Associates Pllc | 5092720813 | 578 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Carolinaeast Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710923875 PECOS PAC ID: 1557272564 Enrollment ID: O20040311000538 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | Digestive Health Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376914283 PECOS PAC ID: 3577717917 Enrollment ID: O20160105002727 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Cheryl Stewart Moore, CRNA 265 N 3rd St, Albemarle, NC 28001-4011 Ph: (704) 985-0144 | Mrs Cheryl Stewart Moore, CRNA 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5661 |
Mr. Edward Blaine Bostian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-6965 | |
Mrs. Kimberly Jo Alexander, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Mrs. Beaulisa Dawn Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 | |
Mrs. Patricia Floyd Burke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 | |
Clement Joseph Markarian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-7000 | |
Mrs. Nancy Marinette Rierson, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000 | |
Ms. Susan Lynn Kutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660 |