Michael Moore, | |
3593 Medina Rd # 181, Medina, OH 44256-8182 | |
(330) 536-3746 | |
Not Available |
Full Name | Michael Moore |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 3593 Medina Rd # 181, Medina, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619635117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 478286 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0030981 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alcove Ventures Llc | 1456669605 | 52 |
Entity Name | Alcove Ventures Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093191322 PECOS PAC ID: 1456669605 Enrollment ID: O20151007002805 |
Mailing Address | Practice Location Address |
---|---|
Michael Moore, 3220 S Locust St, Denver, CO 80222-7410 Ph: () - | Michael Moore, 3593 Medina Rd # 181, Medina, OH 44256-8182 Ph: (330) 536-3746 |
Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266 | |
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700 | |
Becky Coyner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955 | |
Ashley Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3567 Reserve Commons Dr Ste 100, Medina, OH 44256 Phone: 330-664-9250 | |
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746 | |
Cheryl Ann Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907 | |
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919 |