Melissa R Moore, NP | |
854 W James Campbell Blvd, Suite 301, Columbia, TN 38401-4659 | |
(931) 388-8779 | |
(931) 540-0518 |
Full Name | Melissa R Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 854 W James Campbell Blvd, Columbia, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922297019 | NPI | - | NPPES |
3710089 | Medicaid | TN | |
4168669 | Other | TN | BCBST |
3341405 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 12886 (Tennessee) | Primary |
Entity Name | Northside Medical Professionals, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295044097 PECOS PAC ID: 8224224357 Enrollment ID: O20101201000188 |
Mailing Address | Practice Location Address |
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Melissa R Moore, NP 854 W James Campbell Blvd, Suite 303, Columbia, TN 38401-4659 Ph: (931) 540-4255 | Melissa R Moore, NP 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401-4659 Ph: (931) 388-8779 |
Ms. Terri Christine Lacher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535 | |
Jennifer Ficke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1040 N James M Campbell Blvd Ste 101, Columbia, TN 38401 Phone: 931-840-9991 | |
Lori Natalie Duncan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Nashville Hwy, Columbia, TN 38401 Phone: 931-388-8965 Fax: 931-840-8520 | |
Megan Gordon Manor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Jenland Dr, Columbia, TN 38401 Phone: 931-381-3030 Fax: 931-381-6220 | |
Ms. Racheal M Howell, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Brookmeade Dr Ste 130, Columbia, TN 38401 Phone: 931-840-8525 Fax: 931-840-8535 | |
Jeannie Auville Seaborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 S Garden St, Columbia, TN 38401 Phone: 931-548-8090 | |
Christy M Cone, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Nashville Hwy, Suite 200, Columbia, TN 38401 Phone: 931-540-4210 Fax: 931-380-1202 |