| Ms Debra S Moore, CRNA | |
|
21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952-6742 | |
| (941) 235-5800 | |
| Not Available |
| Full Name | Ms Debra S Moore |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 21260 Olean Blvd, Port Charlotte, Florida |
| 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 |
|---|---|---|---|
| 1225109556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN320754L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9382294 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evangelical Community Hospital | Lewisburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evangelical Medical Services Organization | 9133033087 | 241 |
| Entity Name | Evangelical Medical Services Organization |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205928967 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Debra S Moore, CRNA 18167 Us Highway 19 N Ste 650, Credentials Dept, Clearwater, FL 33764-6576 Ph: (727) 437-0836 | Ms Debra S Moore, CRNA 21260 Olean Blvd, Ste 105, Port Charlotte, FL 33952-6742 Ph: (941) 235-5800 |
Mrs. Lauren Arthur, CRNA, ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Martha Gaudiel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Kouji J. Bowser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
Blaine E Griffiths Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 | |
Daniel Carl Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Harbor Blvd, Port Charlotte, FL 33952 Phone: 941-766-4125 Fax: 941-766-4101 | |
James Hutchins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 21298 Olean Blvd, Port Charlotte, FL 33949 Phone: 941-629-1181 Fax: 941-624-6020 | |
Karen Kalbfeld, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Kindred Blvd, Port Charlotte, FL 33954 Phone: 941-624-5220 |