Charles K Moore, FNP | |
2828 1st Ave, Suite 510, Huntington, WV 25702-1236 | |
(304) 399-7533 | |
(304) 399-7507 |
Full Name | Charles K Moore |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 2828 1st Ave, Huntington, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447227285 | NPI | - | NPPES |
7100008460 | Medicaid | KY | |
P00892178 | Other | WV | RR MEDICARE |
2654266 | Medicaid | OH | |
3810004812 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4411P (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 50644 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Medical Center | Huntington, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Mary's Medical Management, Llc | 5890897151 | 85 |
St. Mary's Medical Management, Llc | 5890897151 | 85 |
Entity Name | St. Mary's Medical Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 |
Mailing Address | Practice Location Address |
---|---|
Charles K Moore, FNP Po Box 4190, Barboursville, WV 25504-4190 Ph: (304) 399-4405 | Charles K Moore, FNP 2828 1st Ave, Suite 510, Huntington, WV 25702-1236 Ph: (304) 399-7533 |
Katrina Nicole Watkins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave Ste 204, Huntington, WV 25702 Phone: 304-525-7111 | |
Charles Jason Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 Us Route 60, Huntington, WV 25705 Phone: 304-525-7111 | |
Eric L. Ping, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2828 1st Ave, Suite 200, Huntington, WV 25702 Phone: 304-399-7530 Fax: 304-399-7532 | |
Mr. Bobby Lee Marcum, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701 Phone: 304-526-2200 Fax: 304-526-2139 | |
Mrs. Heather Payne, FNP-BC, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6755 | |
Ms. Patricia S Wright, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 1st Ave, Huntington, WV 25702 Phone: 304-529-0483 Fax: 304-781-2687 | |
Mrs. Carla Whitney Waugh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 Fax: 304-429-7588 |