Mrs Pamela J Moore, CPNP | |
1000 Pine Street, Varnville, SC 29944-0969 | |
(803) 943-5228 | |
(803) 943-4591 |
Full Name | Mrs Pamela J Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1000 Pine Street, Varnville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306846142 | NPI | - | NPPES |
GP0365 | Medicaid | SC | |
RHC013 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 1881 (South Carolina) | Primary |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457922007 PECOS PAC ID: 7810809365 Enrollment ID: O20050208000354 |
Entity Name | Beaufort County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713117 PECOS PAC ID: 7810809365 Enrollment ID: O20050518001061 |
Mailing Address | Practice Location Address |
---|---|
Mrs Pamela J Moore, CPNP 1000 Pine St, Varnville, SC 29944-0969 Ph: (803) 943-5228 | Mrs Pamela J Moore, CPNP 1000 Pine Street, Varnville, SC 29944-0969 Ph: (803) 943-5228 |
Mrs. Victoria R Reynolds, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Jenna Gossett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 843-991-9892 | |
Brenda L Poalillo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-1217 Fax: 803-943-1208 | |
Mrs. Sharon Lynn W Shealy, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Pine Street, Varnville, SC 29944 Phone: 803-943-5228 Fax: 803-943-4591 | |
Melanie Widener Brant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 | |
Felicia Jonelle Ferguson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-2771 |