Joanna Leigh Moore, FNP-BC | |
661 E Main St, Peru, IN 46970-2662 | |
(765) 472-2519 | |
(765) 400-4465 |
Full Name | Joanna Leigh Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 661 E Main St, Peru, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326686395 | NPI | - | NPPES |
300036259 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28164395A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71009786A (Indiana) | Primary |
Entity Name | Indiana Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598776742 PECOS PAC ID: 3971599473 Enrollment ID: O20040430001159 |
Mailing Address | Practice Location Address |
---|---|
Joanna Leigh Moore, FNP-BC 8003 Castleway Dr, Indianapolis, IN 46250-1946 Ph: (175) 761-3353 | Joanna Leigh Moore, FNP-BC 661 E Main St, Peru, IN 46970-2662 Ph: (765) 472-2519 |
Heather Weber, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 W Old Key Dr, Peru, IN 46970 Phone: 765-475-6963 Fax: 765-475-2833 | |
Elaine Olson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 W Old Key Dr Ste 150, Peru, IN 46970 Phone: 765-430-7507 Fax: 765-475-2839 | |
Jay Lee Hoeksema, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 661 E Main St, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465 | |
Melissa Coleman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1244 W Blair Pike Rd, Peru, IN 46970 Phone: 765-513-5251 | |
Vicki Lynn Lederle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 661 E Main St # B, Peru, IN 46970 Phone: 765-472-2519 Fax: 765-400-4465 | |
Katina A Everding, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2484 S Business 31, Suite C, Peru, IN 46970 Phone: 765-472-2722 Fax: 765-472-2722 |