Deanne Montgomery Moore, APRN, CNM is a
Advanced Practice Midwife based in League City, Texas. Deanne Montgomery Moore is licensed to practice in Texas (license number 1059746) and her current practice location is
2113 Crescent Coral Dr, League City, Texas. She can be reached at her office (for appointments etc.) via phone at
(281) 682-5045.
NPI number for Deanne Montgomery Moore is 1013532902 and her current mailing address is 2113 Crescent Coral Dr, League City, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013532902.
Provider's Profile
Full Name | Deanne Montgomery Moore |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2113 Crescent Coral Dr, League City, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013532902
- Provider Enumeration Date: 06/16/2020
- Last Update Date: 05/09/2022
Medical Identifiers
Medical identifiers for Deanne Montgomery Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013532902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 712357 (Texas) | Secondary |
367A00000X | Advanced Practice Midwife | 1059746 (Texas) | 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. Deanne Montgomery 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 |
Deanne Montgomery Moore, APRN, CNM 2113 Crescent Coral Dr, League City, TX 77573-6676 Ph: (281) 682-5045 | Deanne Montgomery Moore, APRN, CNM 2113 Crescent Coral Dr, League City, TX 77573-6676 Ph: (281) 682-5045 |
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