| Mrs Kristina Moore, PA-C | |
|
100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 | |
| (615) 547-6700 | |
| (615) 547-6707 |
| Full Name | Mrs Kristina Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 100 Physicians Way, Lebanon, Tennessee |
| 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 |
|---|---|---|---|
| 1043615644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Macon Community Hospital | Lafayette, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Orthopaedics And Sports Medicine Plc | 9032023320 | 39 |
| Phoenix Rehabilitation And Health Services Inc | 3476464298 | 2775 |
| Entity Name | Premier Orthopaedics & Sports Medicine PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972577351 PECOS PAC ID: 9032023320 Enrollment ID: O20040301001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristina Moore, PA-C Po Box 370, Fortson, GA 31808-0370 Ph: Not Available | Mrs Kristina Moore, PA-C 100 Physicians Way, Suite 110, Lebanon, TN 37090-8102 Ph: (615) 547-6700 |
Barbara Elayne Wolff, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Glidepath Way, Lebanon, TN 37090 Phone: 615-449-5771 Fax: 615-449-5740 |
Mrs. Keely Elaine Metzger, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1430 W Baddour Pkwy, Suite 100, Lebanon, TN 37087 Phone: 615-453-3645 Fax: 615-453-2675 |
Mrs. Keri Lynn Raymond, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1423 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-257-0900 Fax: 615-443-1444 |
Leticia Garcia Haff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1418 W Main St, Lebanon, TN 37087 Phone: 615-425-4200 |
Audrey Ann O'neill, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 |
Angela Freeman Hamock, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 308 W High St, Lebanon, TN 37087 Phone: 615-547-5993 Fax: 615-547-7307 |
Mrs. Emily R Bunn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1705 W Main St, Lebanon, TN 37087 Phone: 615-938-7171 |