| Ms Trenita Lashawn Moore, CFNP | |
|
200 W Railroad St, Long Beach, MS 39560-4517 | |
| (228) 864-0622 | |
| (228) 864-7958 |
| Full Name | Ms Trenita Lashawn Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 200 W Railroad St, Long Beach, Mississippi |
| 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 |
|---|---|---|---|
| 1225239411 | NPI | - | NPPES |
| 0620608060 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R862256 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Saad Enterprises, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982148862 PECOS PAC ID: 3779493226 Enrollment ID: O20170314000434 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Trenita Lashawn Moore, CFNP Po Box 869, 200 W Railroad Street, Long Beach, MS 39560-0869 Ph: (228) 864-0622 | Ms Trenita Lashawn Moore, CFNP 200 W Railroad St, Long Beach, MS 39560-4517 Ph: (228) 864-0622 |
Ashley Nicole Perry, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5120 Beatline Rd, Long Beach, MS 39560 Phone: 228-868-4287 | |
Nicole Victoria Shioli Baxter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 E Railroad St, Long Beach, MS 39560 Phone: 228-678-7036 | |
Mrs. Shannon Kathryn Gilmer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4013 Beatline Rd Ste A, Long Beach, MS 39560 Phone: 228-200-0720 | |
Yalayna Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 E Railroad St, Long Beach, MS 39560 Phone: 228-678-7036 | |
Miss Gerri Mack, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 E Railroad St, Long Beach, MS 39560 Phone: 228-678-7036 Fax: 228-678-7038 | |
Mrs. Stephanie Ladner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 N Cleveland Ave, Long Beach, MS 39560 Phone: 228-220-5200 |