Pamela Kim Moore, MD | |
7210 40th St W, University Place, WA 98466-4319 | |
(253) 564-0170 | |
(253) 207-4240 |
Full Name | Pamela Kim Moore |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7210 40th St W, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700851391 | NPI | - | NPPES |
1057109 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | L7053 (Texas) | Secondary |
208000000X | Pediatrics | MD00047696 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Franciscan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
Mailing Address | Practice Location Address |
---|---|
Pamela Kim Moore, MD 7210 40th St W, University Place, WA 98466-4319 Ph: (253) 564-0170 | Pamela Kim Moore, MD 7210 40th St W, University Place, WA 98466-4319 Ph: (253) 564-0170 |
Tanushree Singhal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Brian J Berry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Carrie L Jenner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 | |
Jocelyn Devita, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4310 Bridgeport Way W, University Place, WA 98466 Phone: 253-459-7177 | |
Mimi A Tutihasi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 40th St W Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-965-4279 | |
David C Brunelle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7000 Fax: 253-534-7099 | |
Debora W Overstreet, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 40th St W, Ste 100, University Place, WA 98466 Phone: 253-564-0170 Fax: 253-207-4240 |