| Richard Moore, CRNA | |
|
1001 Gause Blvd, Slidell, LA 70458-2939 | |
| (985) 280-2200 | |
| Not Available |
| Full Name | Richard Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1001 Gause Blvd, Slidell, Louisiana |
| 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 |
|---|---|---|---|
| 1255362133 | NPI | - | NPPES |
| 05884278 | Medicaid | MS | |
| 1438502 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN082587 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP04287 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Tn Medical Center | Knoxville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesiologists, Pllc | 8921097197 | 147 |
| Entity Name | University Anesthesiologists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073619466 PECOS PAC ID: 8921097197 Enrollment ID: O20040511001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Moore, CRNA 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Richard Moore, CRNA 1001 Gause Blvd, Slidell, LA 70458-2939 Ph: (985) 280-2200 |
Patrick M Fried, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1700 Lindberg Dr, Slidell, LA 70458 Phone: 985-641-8008 Fax: 985-649-4063 | |
Susan Jane Aycock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Geoffrey S Fendley, MSNA, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 | |
Christopher Trainor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 | |
Catherine Parmley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-892-3225 Fax: 985-234-0628 | |
Judith S. Baker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 | |
Catherine M Marrione, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-649-8767 |