Pamela M Moore, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Urbana, Illinois. Her current practice location is
611 W. Park St., Cardiology, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 904-7000.
Pamela M Moore is licensed to practice in Illinois (license number 209-006880) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881701308.
Physician's Profile
| Full Name | Pamela M Moore |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 611 W. Park St., Urbana, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Pamela M Moore attended and graduated from in
NPI Data:
- NPI Number: 1881701308
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 05/28/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Pamela M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881701308 | NPI | - | NPPES |
| 103086 | Other | | MC COCHISE |
| 300051634 | Other | | MARICOPA FOUND |
| 448664 | Other | | MERCY CARE |
| 103087 | Other | AZ | RR MC PIN |
| 103087 | Other | | MC PIMA |
| 1Z1408 | Other | | INTERGROUP HEALTHNET |
| 300051634 | Other | | HUMANA |
| 448664 | Other | | AHCCCS |
| AZ0819900 | Other | AZ | BCBS |
| 300051634 | Other | AZ | HEALTH PLAN AHP |
| 300051634 | Other | | CIGNA |
| 102542 | Other | AZ | RR MC GRP |
| 103086 | Other | AZ | RR MC PIN |
| 500005593 | Other | | TRAVELERS MC |
| 300051634 | Other | | AETNA |
| 448664 | Other | | INDIAN HEALTH |
| 448664 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | RN81005 (Arizona) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209-006880 (Illinois) | 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. Pamela M Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pamela M Moore, NP
611 W. Park St., Bwpc,
Urbana, IL 61801-2500
Ph: (217) 383-6792 | Pamela M Moore, NP
611 W. Park St., Cardiology,
Urbana, IL 61801-2500
Ph: (217) 904-7000 |
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