| Pamela Susan Moore, APRN | |
|
4500 W Newberry Rd, Gainesville, FL 32607-2245 | |
| (352) 336-6000 | |
| Not Available |
| Full Name | Pamela Susan Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4500 W Newberry Rd, Gainesville, 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 |
|---|---|---|---|
| 1619415361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9348211 (Florida) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN9348211 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Neurosurgical Associates Pa | 2466356688 | 3 |
| Entity Name | Florida Neurosurgical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639392004 PECOS PAC ID: 2466356688 Enrollment ID: O20031120000421 |
| Entity Name | Physical Medicine Associates Of Gainesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912397886 PECOS PAC ID: 8224359138 Enrollment ID: O20150604000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Susan Moore, APRN 4500 W Newberry Rd, Gainesville, FL 32607-2245 Ph: (352) 336-6000 | Pamela Susan Moore, APRN 4500 W Newberry Rd, Gainesville, FL 32607-2245 Ph: (352) 336-6000 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000 |