| Tiffany Gray Moon, WHNP-BC | |
|
198 Nc Highway 45 N, Plymouth, NC 27962-9232 | |
| (252) 791-3119 | |
| Not Available |
| Full Name | Tiffany Gray Moon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 198 Nc Highway 45 N, Plymouth, North Carolina |
| 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 |
|---|---|---|---|
| 1467971325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 5009694 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Chowan Hospital | Edenton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Gray Moon, WHNP-BC 201 Leigh St, Edenton, NC 27932-1657 Ph: (252) 562-4410 | Tiffany Gray Moon, WHNP-BC 198 Nc Highway 45 N, Plymouth, NC 27962-9232 Ph: (252) 791-3119 |
Tiffany Smiling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 Mackeys Rd, Plymouth, NC 27962 Phone: 910-249-0093 | |
Mrs. Chrystie Lee Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 958 Us Highway 64 E, Plymouth, NC 27962 Phone: 252-793-4135 Fax: 252-793-7802 | |
Mrs. Renea Swain Price, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 198 Nc Highway 45 N, Plymouth, NC 27962 Phone: 252-791-3119 | |
Ginger Mcdermott Spencer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 795 Us Highway 64 E, Plymouth, NC 27962 Phone: 252-793-4500 | |
Lois Joyce Roberson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1032 Us Highway 64 E, Plymouth, NC 27962 Phone: 242-793-4500 | |
Mrs. Laura Everett Respass, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 201 E Water St, Plymouth, NC 27962 Phone: 252-791-0490 |