Mrs Sally J Moore, PA-C - Physician Assistant in Kilauea, HI

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Mrs Sally J Moore, PA-C is a Physician Assistant - Medical based in Kilauea, Hawaii. Mrs Sally J Moore is licensed to practice in Hawaii (license number 16) and her current practice location is 2490 Oka St, Kilauea, Hawaii. She can be reached at her office (for appointments etc.) via phone at (808) 828-1418.

NPI number for Mrs Sally J Moore is 1942243944 and her current mailing address is 3667 Anini Rd, Kilauea, Hawaii. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942243944.

Contact Information

Mrs Sally J Moore, PA-C
2490 Oka St,
Kilauea, HI 96754-5332
(808) 828-1418
(808) 828-1666

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Provider's Profile

Full NameMrs Sally J Moore
GenderFemale
SpecialityPhysician Assistant - Medical
Location2490 Oka St, Kilauea, Hawaii
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942243944
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 07/13/2026

Medical Identifiers

Medical identifiers for Mrs Sally J Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942243944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 16 (Hawaii)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally J Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Sally J Moore, PA-C
3667 Anini Rd,
Kilauea, HI 96754-5212

Ph: (808) 828-1150		Mrs Sally J Moore, PA-C
2490 Oka St,
Kilauea, HI 96754-5332

Ph: (808) 828-1418

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Physician Assistant Nurses in Kilauea, HI

Mr. James L Winkler, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2460 Oka St, Kilauea, HI 96754
Phone: 808-828-2885    Fax: 808-828-0119

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.