Ellen Cecile Moore, MD is a
Pediatrics physician based in Greenbrier, Arkansas. Ellen Cecile Moore is licensed to practice in Arkansas (license number E-6324) and her current practice location is 14 Woodridge Dr, Greenbrier, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(248) 549-0861.
NPI number for Ellen Cecile Moore is 1285681445 and her current mailing address is 14 Woodridge Dr, Greenbrier, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285681445.
Physician's Profile
Full Name | Ellen Cecile Moore |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 14 Woodridge Dr, Greenbrier, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285681445
- Provider Enumeration Date: 05/30/2006
- Last Update Date: 06/21/2016
Medical Identifiers
Medical identifiers for Ellen Cecile Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285681445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301038528 (Michigan) | Secondary |
208000000X | Pediatrics | E-6324 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Cecile Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellen Cecile Moore, MD 14 Woodridge Dr, Greenbrier, AR 72058-9583 Ph: (248) 549-0861 | Ellen Cecile Moore, MD 14 Woodridge Dr, Greenbrier, AR 72058-9583 Ph: (248) 549-0861 |
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