Denise Moore, | |
4102 Deer Run Rd, Crestwood, KY 40014-9227 | |
(502) 758-0795 | |
Not Available |
Full Name | Denise Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4102 Deer Run Rd, Crestwood, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346705472 | NPI | - | NPPES |
300029799 | Medicaid | IN | |
7100620180 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3013070 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
King's Daughters' Health | Madison, IN | Hospital |
Baptist Health Louisville | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Norton - Kings Daughters Health Inc | 9739089319 | 80 |
Louisville Observational Medicine Associates Psc | 2860890704 | 28 |
Entity Name | Norton - Kings Daughters Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
Mailing Address | Practice Location Address |
---|---|
Denise Moore, 4102 Deer Run Rd, Crestwood, KY 40014-9227 Ph: (502) 758-0795 | Denise Moore, 4102 Deer Run Rd, Crestwood, KY 40014-9227 Ph: (502) 758-0795 |
Michelle Baxter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3811 Barbara Ann Blvd, Crestwood, KY 40014 Phone: 502-599-4158 | |
Julia Elizabeth Pennington, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6813 W Highway 22, Crestwood, KY 40014 Phone: 502-243-2622 Fax: 502-243-2692 | |
Madeleine Sofo Wardell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6411 Veterans Memorial Pkwy Ste 200, Crestwood, KY 40014 Phone: 502-394-6555 Fax: 502-394-3657 | |
Julie A Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Jamie Ct, Crestwood, KY 40014 Phone: 502-550-4235 | |
Amy Nicole Head, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6580 Kenwood Crossing Rd, Crestwood, KY 40014 Phone: 502-243-3161 Fax: 502-243-3164 | |
Carrie Lynn Burchel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7101 W Highway 22, Crestwood, KY 40014 Phone: 502-241-6467 |