John Moore, CRNA | |
1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | |
(615) 256-1064 | |
Not Available |
Full Name | John Moore |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1411 W Baddour Pkwy, Lebanon, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316915614 | NPI | - | NPPES |
3601010 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 8827 (Tennessee) | Primary |
Entity Name | Anesthesia Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215932413 PECOS PAC ID: 6901702307 Enrollment ID: O20031208000822 |
Mailing Address | Practice Location Address |
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John Moore, CRNA Po Box 207, Memphis, TN 38101-0207 Ph: (813) 287-5718 | John Moore, CRNA 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 256-1064 |
John Bratcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 Baddour Pakeway, Lebanon, TN 37087 Phone: 615-256-1064 | |
Eric Salser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Barbara Volner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
James Fyke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Julie Terry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-256-1064 | |
Charla L Schrimpe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 122 Geris Way, Lebanon, TN 37087 Phone: 615-444-4571 |