| Tara Leigh Moore, FNP | |
|
172 Kinsley St, Nashua, NH 03060-3648 | |
| (603) 595-3175 | |
| Not Available |
| Full Name | Tara Leigh Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 172 Kinsley St, Nashua, New Hampshire |
| 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 |
|---|---|---|---|
| 1417414293 | NPI | - | NPPES |
| 3117943 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 197868 (Massachusetts) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 079641-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anna Jaques Hospital | Newburyport, MA | Hospital |
| Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Newburyport Cardiovascular Associates, Llc | 0143548198 | 8 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Newburyport Cardiovascular Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811315831 PECOS PAC ID: 0143548198 Enrollment ID: O20150423000964 |
| Entity Name | Anna Jaques Inpatient Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225573611 PECOS PAC ID: 3476836263 Enrollment ID: O20170201000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Leigh Moore, FNP C/o St Mary's Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8695 | Tara Leigh Moore, FNP 172 Kinsley St, Nashua, NH 03060-3648 Ph: (603) 595-3175 |
Katherine Jo Farrell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Prospect St, Nashua, NH 03060 Phone: 603-577-2259 | |
Christopher Mark Denslow, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 38 Tyler St, Nashua, NH 03060 Phone: 734-249-6800 | |
Carol Manning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Prospect St, Nashua, NH 03060 Phone: 603-883-1626 Fax: 603-881-9914 | |
Sara A Shipley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 116 Spit Brook Rd, Nashua, NH 03062 Phone: 603-888-5573 Fax: 603-891-6910 | |
Juliana Barbara Ivanof, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 280 Main St, Nashua, NH 03060 Phone: 603-594-6030 Fax: 603-594-6045 | |
Carol A Drouin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Prospect St, Nashua, NH 03060 Phone: 603-889-6147 Fax: 603-889-3535 | |
Julia M Stauble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Southwood Dr, Nashua, NH 03063 Phone: 603-577-4300 |