Tracy L Moore, CRNA | |
425 W 5th St, East Liverpool, OH 43920-2405 | |
(330) 385-7200 | |
Not Available |
Full Name | Tracy L Moore |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 425 W 5th St, East Liverpool, Ohio |
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 |
---|---|---|---|
1194826214 | NPI | - | NPPES |
000000357295 | Other | OH | ANTHEM |
2290462 | Medicaid | OH | |
8233342 | Other | OH | MEDICARE PTAN |
2603084000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN-268393 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Liverpool City Hospital | East liverpool, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohio Valley Anesthetists Llc | 7618199704 | 3 |
Entity Name | Ohio Valley Anesthetists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558763888 PECOS PAC ID: 7618199704 Enrollment ID: O20141104002698 |
Entity Name | East Ohio Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508480930 PECOS PAC ID: 6305260753 Enrollment ID: O20200720000706 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Moore, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Tracy L Moore, CRNA 425 W 5th St, East Liverpool, OH 43920-2405 Ph: (330) 385-7200 |
Joseph N Giampietro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 W 5th St, East Liverpool, OH 43920 Phone: 330-385-7200 | |
Peter Whitehead Kearns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 425 W 5th St, East Liverpool, OH 43920 Phone: 330-386-2017 |