Daniel Lewis Moore, | |
691 E 400 N, Ste. 110, Vineyard, UT 84058-8405 | |
(385) 203-0246 | |
(385) 203-0245 |
Full Name | Daniel Lewis Moore |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 691 E 400 N, Ste. 110, Vineyard, Utah |
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 |
---|---|---|---|
1912519117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 8620638-4405 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Onsite Advanced Care | 7911300058 | 12 |
Entity Name | Ming-wei Wu Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699975144 PECOS PAC ID: 4284726159 Enrollment ID: O20171129001743 |
Entity Name | Integrated Clinix |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659931384 PECOS PAC ID: 0941636872 Enrollment ID: O20200212001248 |
Entity Name | Onsite Advanced Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184293136 PECOS PAC ID: 7911300058 Enrollment ID: O20210727001182 |
Mailing Address | Practice Location Address |
---|---|
Daniel Lewis Moore, Po Box 912042, Saint George, UT 84791-2042 Ph: (435) 215-0230 | Daniel Lewis Moore, 691 E 400 N, Ste. 110, Vineyard, UT 84058-8405 Ph: (385) 203-0246 |
Edward Parry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 | |
Trisha D Evans, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 S Samara St, Vineyard, UT 84059 Phone: 925-918-1354 Fax: 801-810-1018 | |
Brett Wheatfill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 | |
Ms. Jentry Cora Mckell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 Fax: 385-203-0245 | |
Sadie Lynn Lemmon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 261 W 630 N, Vineyard, UT 84059 Phone: 801-227-4814 | |
Curtis Lura, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059 Phone: 385-203-0246 | |
Rebecca Ann Waite, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 E 400 N, Ste 110, Vineyard, UT 84058 Phone: 385-203-0246 Fax: 385-203-0245 |