Bernice Loretta Moore, PMHNP-BC | |
2412 Gentle Hollow Dr, Whitehall, PA 18052-3985 | |
(347) 804-3685 | |
Not Available |
Full Name | Bernice Loretta Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2412 Gentle Hollow Dr, Whitehall, Pennsylvania |
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 |
---|---|---|---|
1750809919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP024091 (Pennsylvania) | Primary |
163W00000X | Registered Nurse | RN648046 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blue Mountain Psychiatry, Llc | 5496909376 | 3 |
Entity Name | Collaborative Psychiatric Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437215845 PECOS PAC ID: 0749192805 Enrollment ID: O20031105000685 |
Entity Name | Blue Mountain Psychiatry, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679819908 PECOS PAC ID: 5496909376 Enrollment ID: O20130130000126 |
Entity Name | Synapses Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861183048 PECOS PAC ID: 0749649788 Enrollment ID: O20230707003733 |
Mailing Address | Practice Location Address |
---|---|
Bernice Loretta Moore, PMHNP-BC Po Box 663, Whitehall, PA 18052-0663 Ph: (347) 804-3685 | Bernice Loretta Moore, PMHNP-BC 2412 Gentle Hollow Dr, Whitehall, PA 18052-3985 Ph: (347) 804-3685 |
Kerri D Alex, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 5th St, Whitehall, PA 18052 Phone: 610-434-6678 | |
Sean Heintz, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 | |
Nneka Ezinwanne Ikedinma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 881 3rd St Ste B5, Whitehall, PA 18052 Phone: 610-776-9440 Fax: 610-776-9444 | |
Michelle Jean Silva, CRNP FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 | |
Brenda Lamberty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 | |
William J Watson Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2741 Macarthur Rd, Whitehall, PA 18052 Phone: 610-403-6000 Fax: 610-403-6010 |