Mrs Alicia Brooke Moore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fraser, Michigan. Her current practice location is
16152 Windham, Fraser, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 242-9562.
Mrs Alicia Brooke Moore is licensed to practice in Michigan (license number 4704210341) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144599523.
Provider's Profile
Full Name | Mrs Alicia Brooke Moore |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 16152 Windham, Fraser, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Alicia Brooke Moore attended and graduated from in
NPI Data:
- NPI Number: 1144599523
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Alicia Brooke Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144599523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704210341 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704210341 (Michigan) | Primary |
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. Mrs Alicia Brooke 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 |
Mrs Alicia Brooke Moore, CRNA 16152 Windham, Fraser, MI 48026-2042 Ph: (586) 242-9562 | Mrs Alicia Brooke Moore, CRNA 16152 Windham, Fraser, MI 48026-2042 Ph: (586) 242-9562 |
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