| Randall Lee Moore, CRNA | |
|
900 Washington Rd, West Point, NY 10996-1109 | |
| (845) 938-3511 | |
| Not Available |
| Full Name | Randall Lee Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 900 Washington Rd, West Point, New York |
| 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 |
|---|---|---|---|
| 1700845146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN.0100115-CRNA (Colorado) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 650176 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novamed Surgery Center Of Colorado Springs, Llc | 5294625810 | 7 |
| Anesthesia Of The Rocky Mountains, Llc | 7517155880 | 8 |
| Entity Name | Peak Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023112117 PECOS PAC ID: 2961484365 Enrollment ID: O20040601000848 |
| Entity Name | Animas Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104 |
| Entity Name | Epix Anesthesia Of Colorado Springs, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295008472 PECOS PAC ID: 4688838642 Enrollment ID: O20120604000467 |
| Entity Name | Novamed Surgery Center Of Colorado Springs, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750794681 PECOS PAC ID: 5294625810 Enrollment ID: O20141006000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Lee Moore, CRNA 3056b Sherburne Pl, West Point, NY 10996-1813 Ph: (845) 446-4247 | Randall Lee Moore, CRNA 900 Washington Rd, West Point, NY 10996-1109 Ph: (845) 938-3511 |
Tanya Gatchalian Saunders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 Tillman Pl, E, West Point, NY 10996 Phone: 845-926-5572 | |
Kenneth Michael Saunders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Washington Rd, West Point, NY 10996 Phone: 845-938-3511 | |
Paul Sinquefield, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 900 Washington Rd, Bldg 900, West Point, NY 10996 Phone: 845-938-6677 |