| Nicholas Moore, | |
|
1500 S Mill Ave, Tempe, AZ 85281-6699 | |
| (480) 784-5500 | |
| Not Available |
| Full Name | Nicholas Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1500 S Mill Ave, Tempe, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013550383 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's Medical Center | Phoenix, AZ | Hospital |
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Anesthesia Solutions | 9234357906 | 166 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Moore, 912 Granger Farm Way, Las Vegas, NV 89145-8618 Ph: (808) 387-4316 | Nicholas Moore, 1500 S Mill Ave, Tempe, AZ 85281-6699 Ph: (480) 784-5500 |
Mr. Charles David Laine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 | |
Landon Craig Hitchcock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 435-660-9736 | |
John Durkin, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 E Southern Ave Ste 105, Tempe, AZ 85282 Phone: 480-820-9141 | |
Angela L Fountain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6433 S Clark Dr, Tempe, AZ 85283 Phone: 480-414-1295 | |
Mrs. Bridget Nester Petrillo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 Fax: 203-865-2983 | |
Mr. Mazi Darrell Condelee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 |