Donna Elaine Moore, CRNA | |
300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 | |
(707) 787-2720 | |
(706) 787-8176 |
Full Name | Donna Elaine Moore |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 32 Years |
Location | 300 W Hospital Road, Fort Gordon, Georgia |
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 |
---|---|---|---|
1033285838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN179667 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Anesthesia Billing Services, Llc | 1557256393 | 77 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
St Alphonsus Professional Medical Services Llc | 7214849751 | 64 |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Donna Elaine Moore, CRNA 300w Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 Ph: (707) 787-2720 | Donna Elaine Moore, CRNA 300 W Hospital Road, Eisenhower Army Medical Center Attn Credentials, Fort Gordon, GA 30905-5650 Ph: (707) 787-2720 |
Mr. Kaitnarine Maywalal Harilal, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Ddeamc, Fort Gordon, GA 30905 Phone: 706-787-2300 | |
Mr. Matthew Dean Welder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1910 | |
Joshua Orszag, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811 | |
Hayong Nicole Hirst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 W Hospital Rd Dept Of, Fort Gordon, GA 30905 Phone: 706-787-8706 | |
Fabiola Philippe, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 305-772-2338 | |
Jennifer Lynne Richards, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Rd, Fort Gordon, GA 30905 Phone: 321-626-0671 |