| Timothy J Moore, CRNA | |
|
1152 Greenview Rd, Collierville, TN 38017-1160 | |
| (901) 674-4636 | |
| Not Available |
| Full Name | Timothy J Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 1152 Greenview Rd, Collierville, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609575695 | NPI | - | NPPES |
| Q094735 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 36528 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 901929 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resource Anesthesiology Associates Of Tn Pc | 8527419092 | 150 |
| Resource Anesthesiology Associates Of Tn Pc | 8527419092 | 150 |
| Gastroenterology Center Of The Midsouth Pllc | 4880619824 | 152 |
| Gastroenterology Center Of The Midsouth Pllc | 4880619824 | 152 |
| Entity Name | Gastroenterology Center Of The Midsouth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20051010000483 |
| Entity Name | Resource Anesthesiology Associates Of Tn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240111002755 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Moore, CRNA 1152 Greenview Rd, Collierville, TN 38017-1160 Ph: (901) 674-4636 | Timothy J Moore, CRNA 1152 Greenview Rd, Collierville, TN 38017-1160 Ph: (901) 674-4636 |
Shelby Garmen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1250 Mintmere Dr, Collierville, TN 38017 Phone: 901-628-6104 | |
Dr. Jill Suzanne Detty Oswaks, DNSC Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9267 Forest Island Dr, Collierville, TN 38017 Phone: 901-756-7128 Fax: 901-756-7128 | |
Tracy R Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 W Poplar Ave, Collierville, TN 38017 Phone: 901-861-9000 |