Gale Moore, CNM is a
Advanced Practice Midwife based in Grenada, Mississippi. Gale Moore is licensed to practice in Mississippi (license number R525294) and her current practice location is
1401 Oak St, Grenada, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 226-4010.
NPI number for Gale Moore is 1962582585 and her current mailing address is 1401 Oak St, Grenada, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962582585.
Provider's Profile
Full Name | Gale Moore |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1401 Oak St, Grenada, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962582585
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Gale Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962582585 | NPI | - | NPPES |
00111153 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | R525294 (Mississippi) | Secondary |
367A00000X | Advanced Practice Midwife | R525294 (Mississippi) | 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. Gale 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 |
Gale Moore, CNM 1401 Oak St, Grenada, MS 38901-4633 Ph: (662) 226-4010 | Gale Moore, CNM 1401 Oak St, Grenada, MS 38901-4633 Ph: (662) 226-4010 |
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