| Tamatha Lynne Moore, | |
|
35 Hospital Center Cmns Ste 101, Hilton Head, SC 29926-2846 | |
| (843) 682-4673 | |
| (843) 682-4666 |
| Full Name | Tamatha Lynne Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 35 Hospital Center Cmns Ste 101, Hilton Head, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780226910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26521 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 24167 (South Carolina) | Primary |
| Entity Name | Heart Associate Of Hilton Head Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104123835 PECOS PAC ID: 3971786948 Enrollment ID: O20110329000521 |
| Entity Name | Well Being Health Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942947007 PECOS PAC ID: 2062888779 Enrollment ID: O20221021000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamatha Lynne Moore, 35 Hospital Center Cmns Ste 101, Hilton Head Island, SC 29926-2846 Ph: (843) 682-4673 | Tamatha Lynne Moore, 35 Hospital Center Cmns Ste 101, Hilton Head, SC 29926-2846 Ph: (843) 682-4673 |
Mrs. Amanda Paige Wooten, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 93 N Main St, Hilton Head, SC 29926 Phone: 843-681-3777 | |
Emily Murphy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926 Phone: 843-689-9200 Fax: 843-689-9201 | |
Kelly A Ruckno, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 460 William Hilton Pkwy, Hilton Head, SC 29926 Phone: 843-738-4800 Fax: 843-738-4801 | |
Marquez M Reid, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Pope Ave, Hilton Head, SC 29928 Phone: 843-785-7786 | |
Mrs. Anna Marie Smigelski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Pope Ave, Hilton Head, SC 29928 Phone: 843-785-7786 Fax: 401-404-6255 | |
Kelli Kristin King, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 Bermuda Pointe Cir, Hilton Head, SC 29926 Phone: 740-485-3939 | |
Tyah J Haro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Hospital Center Blvd, Hilton Head, SC 29926 Phone: 843-681-6122 |