Mr Dale G Moore, CRNA in Kalamazoo, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Dale G Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kalamazoo, Michigan. He graduated from nursing school in 1992 and has 33 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lakeland Hospitals At Niles And St Joseph Inc and his current practice location is 125 W Walnut St, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 343-1381.

Mr Dale G Moore is licensed to practice in Michigan (license number 4704186545) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861436248.

Contact Information

	Mr Dale G Moore, CRNA
	125 W Walnut St, Kalamazoo, MI 49007-5239
	(269) 343-1381
	(269) 343-6321

Map and Direction

Provider's Profile

Full Name	Mr Dale G Moore
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	33 Years
Location	125 W Walnut St, Kalamazoo, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dale G Moore graduated from nursing school in 1992

NPI Data:

NPI Number: 1861436248
Provider Enumeration Date: 06/15/2006
Last Update Date: 04/09/2013

Medicare PECOS Information:

PECOS PAC ID: 5193624492
Enrollment ID: I20040106000438

Medical Identifiers

Medical identifiers for Mr Dale G Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861436248	NPI	-	NPPES
430C910670	Other	MI	BCBS GRP PIN
7450527	Other		AETNA PIN
4308757580	Other	MI	RAILROAD IND PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704186545 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lakeland Hospital, St Joseph	St joseph, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Hospitals At Niles And St Joseph Inc	7517929037	88

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Dale G Moore allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Hospitals At Niles And St Joseph Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Dale G Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Dale G Moore, CRNA 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-8419	Mr Dale G Moore, CRNA 125 W Walnut St, Kalamazoo, MI 49007-5239 Ph: (269) 343-1381

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kalamazoo, MI

Ochuko Andrew Oghor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Kalamazoo, MI 49007 Phone: 239-341-7654
Anne Colonius, BSN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618
Tamara Heaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St Ste B, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Jessica R. Zoccoli, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Joseph Aikens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Sophia K Quartey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618 Fax: 269-345-1508
Emma Breen, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 900 Peeler St, Kalamazoo, MI 49008 Phone: 269-345-8618

Mr Dale G Moore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kalamazoo, MI