Charlotte Moore, FNP-C is a
Nurse Practitioner - Family based in Maryland Hts, Missouri. Charlotte Moore is licensed to practice in Missouri (license number 2015009949) and her current practice location is
13655 Riverport Dr, Maryland Hts, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 592-7000.
NPI number for Charlotte Moore is 1598158693 and her current mailing address is 22 Brixworth Ct, Black Jack, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598158693.
Provider's Profile
Full Name | Charlotte Moore |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 13655 Riverport Dr, Maryland Hts, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598158693
- Provider Enumeration Date: 03/12/2015
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Charlotte Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598158693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2015009949 (Missouri) | 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. Charlotte 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 |
Charlotte Moore, FNP-C 22 Brixworth Ct, Black Jack, MO 63033-7438 Ph: (314) 393-6693 | Charlotte Moore, FNP-C 13655 Riverport Dr, Maryland Hts, MO 63043-4812 Ph: (314) 592-7000 |
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