| Tiffany Ann Moore, APRN-CNS, PMHNP-BC | |
|
173 Middle St, Lancaster, NH 03584-3508 | |
| (603) 788-5075 | |
| (603) 788-5285 |
| Full Name | Tiffany Ann Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 173 Middle St, Lancaster, 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 |
|---|---|---|---|
| 1609502699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 090695-23 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Androscoggin Valley Hospital | Berlin, NH | Hospital |
| Weeks Medical Center | Lancaster, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weeks Medical Center | 2769461284 | 58 |
| Weeks Medical Center | 2769461284 | 58 |
| Entity Name | Southern Magnolia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346866845 PECOS PAC ID: 7810391984 Enrollment ID: O20210811002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Ann Moore, APRN-CNS, PMHNP-BC 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5029 | Tiffany Ann Moore, APRN-CNS, PMHNP-BC 173 Middle St, Lancaster, NH 03584-3508 Ph: (603) 788-5075 |
Tammy Rose Lazott, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-4911 Fax: 603-788-5027 | |
Ms. Jodi Anderson Wilson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-4911 Fax: 603-326-5831 | |
Maryjane Bahiyyih Corgnati, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5092 | |
Kate Elizabeth Noel, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-5075 Fax: 603-788-5285 | |
Mrs. Gina Lynn Bedell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 170 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5092 | |
Penny Lynn Durgin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 170 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5027 |