Debra A Moon, NNP | |
8111 Township Line Rd, Indianapolis, IN 46260-2479 | |
(317) 415-7921 | |
Not Available |
Full Name | Debra A Moon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Neonatal |
Location | 8111 Township Line Rd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154772465 | NPI | - | NPPES |
201412030 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0000X | Nurse Practitioner - Neonatal | 71006265A (Indiana) | Primary |
Entity Name | St Vincent Pediatric Subspecialties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967736 PECOS PAC ID: 1557313939 Enrollment ID: O20050214000627 |
Mailing Address | Practice Location Address |
---|---|
Debra A Moon, NNP 10330 N Meridian St # 300, Indianapolis, IN 46290-1024 Ph: () - | Debra A Moon, NNP 8111 Township Line Rd, Indianapolis, IN 46260-2479 Ph: (317) 415-7921 |
Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516 | |
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204 | |
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300 | |
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491 | |
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806 | |
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100 | |
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617 |