Ms Mary Sue Moore, APRN, DNP | |
401 Cecil G Costin Sr Blvd, Port St Joe, FL 32456-1928 | |
(850) 229-1043 | |
Not Available |
Full Name | Ms Mary Sue Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 401 Cecil G Costin Sr Blvd, Port St Joe, Florida |
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 |
---|---|---|---|
1508221284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN9162481 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pancare Of Florida, Inc | 3476574229 | 32 |
Entity Name | Calhoun-liberty Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1649596784 PECOS PAC ID: 8820007016 Enrollment ID: O20070509000586 |
Entity Name | Small Hospital Innovations |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
Entity Name | Pancare Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366456287 PECOS PAC ID: 3476574229 Enrollment ID: O20150116000294 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Sue Moore, APRN, DNP 11523 Sw Mcclellan Farm Rd, Clarksville, FL 32430-3043 Ph: (850) 899-3191 | Ms Mary Sue Moore, APRN, DNP 401 Cecil G Costin Sr Blvd, Port St Joe, FL 32456-1928 Ph: (850) 229-1043 |
Nancy Phipps Anderson, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3871 E Highway 98, Suite 203, Port St Joe, FL 32456 Phone: 850-229-5661 Fax: 850-229-5662 | |
Mrs. Christian Laine Cox, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-807-5104 | |
Monica Barfield, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Ms. Patricia A Hammonds, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2475 Garrison Ave, Port St Joe, FL 32456 Phone: 850-227-1276 Fax: 850-227-7587 | |
Mrs. Candi Calderon, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 Fax: 850-227-9219 | |
Amy E. Miller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Palm Blvd, Port St Joe, FL 32456 Phone: 850-296-0318 | |
Miss Emily Anne Tezak, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 W Highway 98, Port St Joe, FL 32456 Phone: 850-227-9220 |