Misti Dawn Moore, FNP | |
207 S Main St, Troy, KS 66087-4017 | |
(785) 985-2211 | |
(785) 985-2444 |
Full Name | Misti Dawn Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 207 S Main St, Troy, Kansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558851329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2018015530 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 78441 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meritas Health Corporation | 6305748153 | 362 |
Heartland Regional Medical Center | 6709772767 | 342 |
Restore Muscle And Joint, Llc | 9830346824 | 7 |
Heartland Regional Medical Center | 6709772767 | 342 |
Entity Name | Meritas Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058 |
Entity Name | Heartland Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
Entity Name | Restore Muscle And Joint, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962767061 PECOS PAC ID: 9830346824 Enrollment ID: O20120827000438 |
Mailing Address | Practice Location Address |
---|---|
Misti Dawn Moore, FNP 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3512 Ph: (816) 271-1066 | Misti Dawn Moore, FNP 207 S Main St, Troy, KS 66087-4017 Ph: (785) 985-2211 |
Melody Jo Fields, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 S Main St, P.o. Box 488, Troy, KS 66087 Phone: 785-985-2211 Fax: 785-985-2444 |