Ms Kelley C Moore, CRNA in Travis Afb, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Kelley C Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. She graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Services Of Greater Dayton Llc and her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (937) 668-2438.

Ms Kelley C Moore is licensed to practice in Alaska (license number 209) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639165343.

Contact Information

	Ms Kelley C Moore, CRNA
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(937) 668-2438
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kelley C Moore
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kelley C Moore graduated from nursing school in 1998

NPI Data:

NPI Number: 1639165343
Provider Enumeration Date: 09/27/2005
Last Update Date: 11/05/2014

Medicare PECOS Information:

PECOS PAC ID: 7618967811
Enrollment ID: I20060317000366

Medical Identifiers

Medical identifiers for Ms Kelley C Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639165343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209 (Alaska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Services Of Greater Dayton Llc	1658520747	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kelley C Moore allows following entities to bill medicare on her behalf.

Entity Name	Gi Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730332610 PECOS PAC ID: 6002971553 Enrollment ID: O20090217000157

Entity Name	Anesthesia Services Of Greater Dayton Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407132830 PECOS PAC ID: 1658520747 Enrollment ID: O20121004000714

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20201013000268

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. Ms Kelley C Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kelley C Moore, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (937) 668-2438	Ms Kelley C Moore, CRNA 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (937) 668-2438

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3589
Mr. Jerry Edward Glattfelt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535 Phone: 707-423-5370
Mr. David Lee Perkins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 708-423-3589
Michael Millar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Jorge Montequin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3339
Shawna Mills Greiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3583
Gregory John Miles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3605

Ms Kelley C Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Travis Afb, CA