| Tammy K Moore, FNP-BC | |
| 58 Eastham St, Vanceburg, KY 41179-5462 | |
| (606) 796-3046 | |
| Not Available | 
| Full Name | Tammy K Moore | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 58 Eastham St, Vanceburg, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437780582 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 026004 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 3014132 (Kentucky) | Primary | 
| Entity Name | Exceptional Care Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245900794 PECOS PAC ID: 5799175741 Enrollment ID: O20211206001293 | 
| Entity Name | Provider Partners Care Management Lp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240424001833 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tammy K Moore, FNP-BC 512 Clark Street, Maysville, KY 41056-1708 Ph: (606) 407-4095 | Tammy K Moore, FNP-BC 58 Eastham St, Vanceburg, KY 41179-5462 Ph: (606) 796-3046 | 
| Lee Ann Parker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Ky 59, Vanceburg, KY 41179 Phone: 606-796-3029 Fax: 844-474-7624 | |
| Ms. Arica Nicole Donini, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Plummers Ln, Vanceburg, KY 41179 Phone: 606-796-0010 | |
| Ray A Ervin, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 Commonwealth Road, Vanceburg, KY 41179 Phone: 606-796-0010 Fax: 606-796-0011 | |
| Brandon Scott Malone, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 Commonwealth Rd, Vanceburg, KY 41179 Phone: 606-796-0010 Fax: 606-796-0011 | |
| Mrs. Natosha Leigh Staggs, BSN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 246 Commonwealth Road, Vanceburg, KY 41179 Phone: 606-796-0010 Fax: 606-796-0011 | |
| Terrilee Hainline, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 211 Ky 59, Vanceburg, KY 41179 Phone: 606-796-3029 Fax: 606-796-6221 |